NCCP pharmacy locator guide

Transcription

NCCP pharmacy locator guide
2016
NCCP – National Compound Credentialing Program
CREDENTIALED
PHARMACIES LISTING
225 Total Credentialed Pharmacies as of 10-24-2016
Introduction
This user guide will assist members with the selection of a pharmacy which has been credentialed with the
OptumRx National Compound Credentialing Program (NCCP).
Using the Guide
This guide is in alphabetical order by state. Each page provides a list of the pharmacies credentialed and
licensed to dispense within that state.
Symbols next to the pharmacies are also provided for reference for some of the more routine types of
compounded products. If your type of product is not listed, or if you are unsure of the type of compounded
product you are filling; the pharmacies listed should be able to answer your questions based on the
prescriptions and direct you appropriately as to their ability to compound the product.
Also, please be aware that not ALL compounded medications require a pharmacy that is listed within this
Guide. Some of the more ‘simple’ compounds which do not require a rigorous credentialing review may be
made available to you from any of the network pharmacy providers that you use for your routine medications.
How to find a pharmacy that dispenses a specific type of compound medication
The abbreviations below represent routine types of compounds. Not all pharmacies are credentialed to
dispense all types of compounds.
The charts on each page will let you know which which pharmacy may be able to compound the medication you
need. (For example if the prescription appears to be for a topical product look for the TOP symbol after the
pharmacies within your state.)
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TOP:
HRT:
PED:
NAS:
STR:
denotes topical products (e.g. pain ointments/gels and topical hormone creams)
denotes hormone replacement therapy and fertility medications (e.g. estriol)
denotes pediatric (children) custom products (e.g. liquid g-tube preparations)
denotes nasal or oral inhaled therapies (e.g. antibiotic or steroid nasal compounds)
denotes sterile Preparations (e.g. IV, IM, SC and Epidural injections, Ophthalmic preparations and
fortified antibiotic/antifungal drops)
SUP: denotes Supplements (e.g. Enzymes, EFA’s, Vitamin A/C/D and Calcium)
PTD: denotes Medicare Part D (e.g. a compound claim for a Medicare Part D beneficiary)
Please Note: You may not see a pharmacy near you (or even in your state of residence) listed, however the
NCCP pharmacies listed for each state are licensed to dispense and ship compound medications to that state.
Not all NCCP pharmacies participate in all networks.
Please verify the compound credentialed pharmacy participates in your Plan’s network.
10-24-2016
STATES
MENU: Please click your specific state to navigate through the Pharmacy Locator Guide.
AL
AL –
Cont.
AK
AK-Cont.
AZ
AZCont.
AR
AR-Cont.
CA
CA-Cont.
CO
COCont.
CT
CT-Cont.
DC
DE
DE-Cont.
FL
FL-Cont.
GA
GA-Cont.
HI
HI-Cont.
ID
ID-Cont.
IL
IL-Cont.
IN
IN-Cont.
IA
IA-Cont.
KS
KS-Cont.
KY
KY-Cont
LA
LA-Cont.
ME
MECont.
MD
MDCont.
MA
MACont.
MACont. 1
MA-Cont.
2
MACont. 3
MI
MI-Cont.
MN
MNCont.
MS
MSCont.
MO
MOCont.
MT
MTCont.
NE
NE-Cont.
NV
NV.Cont.
NH
NHCont.
NJ.
NJ-Cont.
NM
NMCont.
NY
NY-Cont.
NC
NCCont.
ND
NDCont.
OH
OHCont.
OK
OKCont.
OR
OR-Cont.
PA
PACont.
RI
RI-Cont.
SC
SC-Cont.
SD
SDCont.
TN
TN-Cont.
TX
TX-Cont.
UT
VT
VT-Cont
VA
VA-Cont.
WA
WACont.
WV
WVCont.
WI
WI-Cont.
WY
WYCont.
Please Note: You may not see a pharmacy near you (or even in your state of residence) listed, however the
NCCP pharmacies listed for each state are licensed to dispense and ship compound medications to that state.
Not all NCCP pharmacies participate in all networks.
Please verify the compound credentialed pharmacy participates in your Plan’s network.
10-24-2016
ALABAMA (AL)
Pharmacy Name
Address
City
State Phone
Fax
Advanced Infusion Solutions
623 Highland Colony Parkway Suite 100
Ridgeland
MS
877-443-4006
888-298-2220
Allcare Pharmacy and Healthcare Services
112 S. Oxley Drive
Lyons
GA
912-526-3200
912-526-5960
X
X
X
America's Best Care Plus, Inc
1825 Everett Drive W.
Fort Payne
AL
800-638-6305
800-638-0294
X
X
X
Anderson Compounding Pharmacy
310 Bluff City Highway
Bristol
TN
423-764-4136
423-764-5167
X
X
X
Assured Rx
13555 Automobile Blvd Suite 230
Clearwater
FL
727-451-6815
888-209-4962
X
Athena Pharmacy
2025 N. Mt. Julliet Rd. Suite 100
Mt Juliet
TN
615-288-4037
615-288-4061
X
X
X
X
Avella of Deer Valley, Inc.
23620 N 20th Drive Suite 12
Phoenix
AZ
877-792-7684
866-792-7684
X
X
X
X
Central Avenue Pharmacy, Inc
133 Fifteenth Street
Pacific Grove
CA
831-373-1225
831-373-3705
X
X
X
X
Central Rexall Drugs, Inc
125 E. Thomas Street
Hammond
LA
985-345-5120
985-345-5178
X
X
X
X
Compound Care Plus Pharmacy
1410 Highway 98 Unit G
Daphne
AL
866-832-2263
866-832-2264
X
X
X
Comprehensive Wellness Pharmacy
2269 Wilma Rudolph Blvd. Suite 103
Clarksville
TN
(855) 806-6042
Conversio Health
720 Aerovista Place Suite D
San Luis Obispo
CA
(866) 239-3784 (800) 977-9255
Custom Meds, Inc.
102 E Highland Blvd
Inverness
FL
352-341-1212
352-341-2626
X
X
Custom Pharmacy Solutions
2637 Valleydale Rd.
Birmingham
AL
866-988-3383
866-988-3553
X
X
DermaTran Health Solutions
2700 Stanley Gault Pkwy, Ste 103
Louisville
KY
855-675-5240
844-265-1995
X
DermaTran Health Solutions
85 Technology Pkwy NW
Rome
GA
855-675-5240
844-265-1995
X
Diabetes Corporation of America
4701 Trousdale Drive
Nashville
TN
877-730-5770
877-327-9174
X
X
X
Essential Pharmacy Compounding
620 N 114 Street
Omaha
NE
402-408-0015
402-408-0020
X
X
X
Everwell Specialty Pharmacy
825 E. Burgess Road
Pensacola
FL
850-473-9190
850-473-9935
X
X
X
Foothills Professional Pharmacy
4545 E. Chandler #100
Phoenix
AZ
480-496-4444
480-496-4450
X
X
Foundation Care, LLC
4010 Wedgeway Court
Earth City
MO
314-291-1122
314-291-1133
X
Heritage Compounding Pharmacy
11 Midtown Park East
Mobile
AL
251-472-0814
251-472-0864
X
X
X
Hibbett Patient Care
1502 N. McKenzie St Ste 114
Foley
AL
(251) 424-1544 (251) 424-1545
X
X
X
Hill Country Apothecary
Lakeway
Tampa
TX
FL
512-351-9139
813-839-8861
X
X
X
X
Hoye's Pharmacy
1310 RR 620 S. Suite A-1
4330 South Manhattan Avenue
X
X
X
X
Imprimis Rx
780 Primos Ave Unit E
Folcroft
PA
(888) 824-8100 (866) 302-7625
Infinity Compounding Solutions
1204 SE 28th Street Suite 2
Bentonville
AR
888-414-5805
855-422-2400
X
X
X
Innovation Compounding Inc
6095 Pine Mountain Road NW suite 108
Kennesaw
GA
770-421-1399
770-426-1965
X
X
X
Inverness Apothecary South Texas Inc
5009 S McColl Rd Suite A
Edinburg
TX
956-467-0246
956-688-8967
X
X
X
X
Inverness Apothecary Trinity
Trinity
Murphy
AL
TX
256-260-3350
972-535-2020
256-260-3351
855-385-9990
X
X
X
X
Inverness Lone Star Pharmacy
24333 Gordon Terry Parkway Suite B
223 E. FM 544 Suite 806
X
X
X
X
ITC Compounding & Natural Wellness Pharmacy
651 Topeka Way Ste 600
Castle Rock
CO
303-663-4224
303-663-4263
X
X
X
X
Keystone Pharmacy, LLC
118 Weisenberger #400
Madison
MS
855-739-9948
855-221-0918
X
X
X
X
Lee Silsby Compounding Pharmacy
3216 Silsby Rd
Cleveland Heights OH
216-321-4300
216-321-4303
X
X
X
Magnolia Specialty Pharmacy
163 Turtle Creek Drive Suite 130
Hattiesburg
MS
877-871-3935
888-990-0575
X
X
X
MasterPharm
115-02 Liberty Avenue
Richmond Hill
NY
718-529-5500
718-529-2780
X
X
X
Medaus Pharmacy
6801 Cahaba Valley Rd Suite 116
Birmingham
AL
(205) 981-2352 (205) 981-2767
X
X
X
Millers Compounding Pharmacy
678 Wyckoff Avenue
Wyckoff
NJ
888-891-3334
866-891-3334
X
X
X
Patient Care America
5371 Hiatus Road
Sunrise
FL
954-473-4717
954-473-9519
X
X
Pentec Health, Inc.
4 Creek Parkway
Boothwyn
PA
800-223-4376
610-494-7328
X
X
Pharmacy Creations
540 Route 10 West
Randolph
NJ
973-328-8756
973-328-8731
X
Pharmacy Innovations
2936 W. 17th ST
Erie
PA
814-838-2102
814-838-2103
X
X
Pharmacy Link
3648 Vann Road Building II Suite 116
Birmingham
AL
866-332-6966
866-374-4761
X
X
Professional Arts Pharmacy
128 Curran Lane
Lafayette
LA
337-991-0101
337-991-0151
X
X
X
X
Professional Pharmacy
2001 North Airport Road
14003 Beach Blvd
Jasper
Jacksonville
AL
FL
205-221-4564
904-503-5030
205-221-4555
904-361-3866
X
X
X
X
X
X
X
Smart Pharmacy
TOP
HRT PED NAS STR SUP PTD
X
X
X
X
X
X
X
X
X
X
X
X
X
X
512-366-5573
813-839-8941
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X
Return to Instructions * Return to Menu
Please Note: You may not see a pharmacy near you (or even in your state of residence) listed, however the
NCCP pharmacies listed for each state are licensed to dispense and ship compound medications to that state.
Not all NCCP pharmacies participate in all networks.
Please verify the compound credentialed pharmacy participates in your Plan’s network.
10-24-2016
ALABAMA (AL) – Continued
Pharmacy Name
Address
3349 Independence Drive Suite 102
City
Birmingham
State Phone
AL
205-870-3150
Fax
855-862-0446
TOP
The Compounding Shoppe
X
X
X
X
The Pill Box Pharmacy
2422 Danville Rd SW Suite J
Decatur
AL
256-353-1121
256-353-1790
X
X
X
X
TPS
3524 Decatur Highway Suite 302
Fultondale
AL
205-608-4995
205-608-2718
X
Transdermal Therapeutics, Inc.
211 Summit Pkwy Suite 124
Homewood
AL
877-581-5445
877-495-5445
X
Vasco Rx Specialty Pharmacy
4045 E Bell Rd Suite 163
Phoenix
AZ
(602) 971-6950 (602) 404-2504
X
X
X
X
X
X
X
Vital Care of Meridian
1501 23rd Ave
Meridian
MS
800-652-6157
X
X
X
X
X
X
X
Westchase Compounding Pharmacy
12617 Race Track Road
Tampa
FL
813-925-8200
X
X
X
X
X
X
X
Return to Instructions
813-925-8933
HRT PED NAS STR SUP PTD
X
X
X
X
X
X
X
* Return to Menu
Please Note: You may not see a pharmacy near you (or even in your state of residence) listed, however the
NCCP pharmacies listed for each state are licensed to dispense and ship compound medications to that state.
Not all NCCP pharmacies participate in all networks.
Please verify the compound credentialed pharmacy participates in your Plan’s network.
10-24-2016
ALASKA (AK)
Pharmacy Name
Address
City
State Phone
Fax
Advanced Infusion Solutions
623 Highland Colony Parkway Suite 100
Ridgeland
MS
877-443-4006
888-298-2220
America's Best Care Plus, Inc
1825 Everett Drive W.
Fort Payne
AL
800-638-6305
800-638-0294
X
X
X
Anderson Compounding Pharmacy
310 Bluff City Highway
Bristol
TN
423-764-4136
423-764-5167
X
X
X
X
X
Avella of Deer Valley, Inc.
23620 N 20th Drive Suite 12
Phoenix
AZ
877-792-7684
866-792-7684
X
X
X
X
X
Broadway Apothecary
1515 Oak Street
Eugene
OR
541-684-9352
541-684-0858
X
X
X
X
Central Avenue Pharmacy, Inc
133 Fifteenth Street
Pacific Grove
CA
831-373-1225
831-373-3705
X
X
X
X
Central Rexall Drugs, Inc
125 E. Thomas Street
Hammond
LA
985-345-5120
985-345-5178
X
X
X
X
Compound Care Plus Pharmacy
1410 Highway 98 Unit G
Daphne
AL
866-832-2263
866-832-2264
X
X
X
Conversio Health
720 Aerovista Place Suite D
San Luis Obispo
CA
(866) 239-3784 (800) 977-9255
Custom Pharmacy Solutions
2637 Valleydale Rd.
Birmingham
AL
866-988-3383
866-988-3553
X
X
DermaTran Health Solutions
2700 Stanley Gault Pkwy, Ste 103
Louisville
KY
855-675-5240
844-265-1995
X
DermaTran Health Solutions
85 Technology Pkwy NW
Rome
GA
855-675-5240
844-265-1995
X
Essential Pharmacy Compounding
620 N 114 Street
Omaha
NE
402-408-0015
402-408-0020
X
X
Foothills Professional Pharmacy
4545 E. Chandler #100
Phoenix
AZ
480-496-4444
480-496-4450
X
X
Foundation Care, LLC
4010 Wedgeway Court
Earth City
MO
314-291-1122
314-291-1133
X
Fusion Rx Compounding Pharmacy
Fusion Specialty Pharmacy
2001 Westwood Blvd. Suite A
1100 Canyon View Drive Suite C
Los Angeles
Santa Clara
CA
UT
(310) 204-6676 (310) 204-6678
435-703-9680 435-703-9681
Imprimis Rx
780 Primos Ave Unit E
Folcroft
PA
(888) 824-8100 (866) 302-7625
Infinity Compounding Solutions
1204 SE 28th Street Suite 2
Bentonville
AR
888-414-5805
855-422-2400
X
X
X
X
Inverness Apothecary Trinity
24333 Gordon Terry Parkway Suite B
Trinity
AL
256-260-3350
256-260-3351
X
X
X
X
ITC Compounding & Natural Wellness Pharmacy
651 Topeka Way Ste 600
Castle Rock
CO
303-663-4224
303-663-4263
X
X
X
X
Lee Silsby Compounding Pharmacy
3216 Silsby Rd
Cleveland Heights OH
216-321-4300
216-321-4303
X
X
X
Magnolia Specialty Pharmacy
163 Turtle Creek Drive Suite 130
Hattiesburg
MS
877-871-3935
888-990-0575
X
X
X
MasterPharm
115-02 Liberty Avenue
Richmond Hill
NY
718-529-5500
718-529-2780
X
X
X
X
Millers Compounding Pharmacy
678 Wyckoff Avenue
Wyckoff
NJ
888-891-3334
866-891-3334
X
X
X
X
Park Compounding
9257 Research Dr
Irvine
CA
949-551-7195
949-551-1950
X
X
X
X
Patient Care America
5371 Hiatus Road
Sunrise
FL
954-473-4717
954-473-9519
X
X
Pentec Health, Inc.
4 Creek Parkway
Boothwyn
PA
800-223-4376
610-494-7328
X
X
Pharmacy Creations
540 Route 10 West
Randolph
NJ
973-328-8756
973-328-8731
Pinnacle Compounding
1120 Kensington Ave. Ste. E
Missoula
MT
(406) 541-6121 (406) 541-6267
X
X
Riverpoint Pharmacy
528 E Spokane Fall Blvd #110
Spokane
WA
509-343-6252
X
X
X
RoxSan Pharmacy
Beverly Hills
Jacksonville
CA
FL
(310) 273-1644 (310) 276-4152
904-361-3861 904-361-3866
X
X
X
Smart Pharmacy
465 N. Roxbury Dr. Ground Floor
3740 St. Johns Bluff Road #19
X
X
X
Specialty Chemist Corp.
65-60 Fresh Meadow Lane
Fresh Meadows
NY
(718) 353-2595 (718) 886-8658
X
X
Topical Solutions Pharmacy
20612 N. Cave Creek Rd. #150
Phoenix
AZ
(480) 351-8278 (480) 351-8277
X
Vasco Rx Specialty Pharmacy
4045 E Bell Rd Suite 163
Phoenix
AZ
(602) 971-6950 (602) 404-2504
X
X
X
X
Woodland Hills Pharmacy
20361 Ventura Blvd ste 305
Woodland Hills
CA
(855) 876-3060 (866) 893-9320
X
X
X
X
Xpress Compounding
1000 W. Weatherford St Suite 120
Fort Worth
TX
844-977-3770
X
X
Return to Instructions
509-343-6251
817-887-5545
TOP
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* Return to Menu
Please Note: You may not see a pharmacy near you (or even in your state of residence) listed, however the
NCCP pharmacies listed for each state are licensed to dispense and ship compound medications to that state.
Not all NCCP pharmacies participate in all networks.
Please verify the compound credentialed pharmacy participates in your Plan’s network.
10-24-2016
ARIZONA (AZ)
Pharmacy Name
Address
City
State Phone
AAA Compounding Pharmacy
7921 Westminster Blvd.
Westminster
CA
(714) 988-6888 (714) 677-2400
X
Access Compounding Pharmacy
1450 Emerson Ave. #110
McLean
VA
(571) 488-6620 (571) 488-6621
X
Advanced Infusion Solutions
623 Highland Colony Parkway Suite 100
Ridgeland
MS
877-443-4006
All-Care Pharmacy
8415 N Pima Rd Suite 125
Scottsdale
AZ
(480) 270-6700 (480) 270-6701
X
X
X
America's Best Care Plus, Inc
1825 Everett Drive W.
Fort Payne
AL
800-638-6305
800-638-0294
X
X
X
Anderson Compounding Pharmacy
310 Bluff City Highway
Bristol
TN
423-764-4136
423-764-5167
X
X
X
Ashland Health
12 N. Catherine Ave
La Grange
IL
708-482-4000
708-482-4004
X
Assured Rx
13555 Automobile Blvd Suite 230
Clearwater
FL
727-451-6815
888-209-4962
X
Athena Pharmacy
2025 N. Mt. Julliet Rd. Suite 100
Mt Juliet
TN
615-288-4037
615-288-4061
X
X
X
X
Avella of Deer Valley, Inc.
23620 N 20th Drive Suite 12
Phoenix
AZ
877-792-7684
866-792-7684
X
X
X
X
Avella of Scottsdale, Inc.
9777 N 91st ST
Scottsdale
AZ
480-451-3771
480-451-3503
X
X
X
X
Avella of Tucson, Inc.
4512 E Camp Lowell Drive
Tucson
AZ
520-918-0044
520-918-0043
X
X
X
X
Carefree Compounding Wellness
2525 W. Carefree Hwy Bld 1 Suite 100
Peoria
AZ
623-806-1300
623-806-1304
X
X
X
Cascade Specialty Pharmacy
325 NE Hostmark St
Poulsbo
WA
(360) 779-2737 (360) 779-4905
X
X
X
X
Central Avenue Pharmacy, Inc
133 Fifteenth Street
Pacific Grove
CA
831-373-1225
831-373-3705
X
X
X
X
Central Rexall Drugs, Inc
125 E. Thomas Street
Hammond
LA
985-345-5120
985-345-5178
X
X
X
X
Conversio Health
720 Aerovista Place Suite D
San Luis Obispo
CA
(866) 239-3784 (800) 977-9255
CPRx Pharmacy
351 Cypress Creek Rd Suite 100
Cedar Park
TX
(512) 382-7393 (512) 382-7488
X
X
Curexa
3007 Ocean Heights Ave
Egg Harbor Township NJ
609-927-0390
609-927-0392
X
X
Custom Meds, Inc.
Inverness
Wichita
FL
KS
352-341-1212
316-721-2626
352-341-2626
316-721-4823
X
X
Custom Rx Pharmacy & Wellness Concepts
102 E Highland Blvd
3510 N Ridge Road Suite 900
X
X
X
DermaTran Health Solutions
85 Technology Pkwy NW
Rome
GA
855-675-5240
844-265-1995
X
Diabetes Corporation of America
4701 Trousdale Drive
Nashville
TN
877-730-5770
877-327-9174
X
X
X
Eastern States Compounding Pharmacy
338 Union Street
Littleton
NH
603-444-0094
603-444-0095
X
X
X
X
X
Essential Pharmacy Compounding
620 N 114 Street
Omaha
NE
402-408-0015
402-408-0020
X
X
X
X
X
Farma Pharmacy
5240 San Fernando Road
Glendale
CA
(844) 849-3690 (818) 638-3136
X
Foothills Professional Pharmacy
4545 E. Chandler #100
Phoenix
AZ
480-496-4444
480-496-4450
X
Foundation Care, LLC
4010 Wedgeway Court
Earth City
MO
314-291-1122
314-291-1133
X
Fusion Rx Compounding Pharmacy
2001 Westwood Blvd. Suite A
1100 Canyon View Drive Suite C
Los Angeles
Santa Clara
CA
UT
(310) 204-6676 (310) 204-6678
435-703-9680 435-703-9681
X
X
X
X
X
X
X
X
Hopewell
Tampa
NJ
FL
609-466-1960
813-839-8861
X
X
X
X
X
X
Hoye's Pharmacy
1 West Borad Street
4330 South Manhattan Avenue
X
X
X
X
X
X
Imprimis Rx
780 Primos Ave Unit E
Folcroft
PA
(888) 824-8100 (866) 302-7625
Infinity Compounding Solutions
1204 SE 28th Street Suite 2
Bentonville
AR
888-414-5805
855-422-2400
X
X
X
Innovation Compounding Inc
6095 Pine Mountain Road NW suite 108
Kennesaw
GA
770-421-1399
770-426-1965
X
X
X
X
X
Inverness Apothecary South Texas Inc
5009 S McColl Rd Suite A
Edinburg
TX
956-467-0246
956-688-8967
X
X
X
X
Inverness Apothecary Trinity
Trinity
Murphy
AL
TX
256-260-3350
972-535-2020
256-260-3351
855-385-9990
X
X
X
X
Inverness Lone Star Pharmacy
24333 Gordon Terry Parkway Suite B
223 E. FM 544 Suite 806
X
X
X
X
ITC Compounding & Natural Wellness Pharmacy
651 Topeka Way Ste 600
Castle Rock
CO
303-663-4224
303-663-4263
X
X
X
X
Kohana Pharmacy
181 Tank Farm Road Suite 120
San Luis Obispo
CA
805-542-0864
805-542-0867
X
X
X
X
X
X
La Vita Compounding Pharmacy
3978 Sorrento Valley Blvd #300
San Diego
CA
858-453-2500
858-453-2501
X
X
X
X
X
X
Lee Silsby Compounding Pharmacy
3216 Silsby Rd
Cleveland Heights
OH
216-321-4300
216-321-4303
X
X
X
X
X
X
Magnolia Specialty Pharmacy
163 Turtle Creek Drive Suite 130
Hattiesburg
MS
877-871-3935
888-990-0575
X
X
X
X
X
MasterPharm
115-02 Liberty Avenue
Richmond Hill
NY
718-529-5500
718-529-2780
X
X
X
Medaus Pharmacy
6801 Cahaba Valley Rd Suite 116
Birmingham
AL
(205) 981-2352 (205) 981-2767
X
X
X
Medtown Rx
Burbank
Houston
CA
TX
(818) 500-0079 (818) 500-0225
713-523-7847 713-524-5024
X
X
X
X
Memorial Compounding Pharmacy
4128 W. Burbank Blvd
2918 San Jacinto Street
X
X
Millers Compounding Pharmacy
678 Wyckoff Avenue
Wyckoff
NJ
888-891-3334
X
X
X
X
Fusion Specialty Pharmacy
Hopewell Pharmacy
Return to Instructions
Fax
TOP
HRT PED NAS STR SUP PTD
X
X
X
X
888-298-2220
609-466-8222
813-839-8941
866-891-3334
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
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X
X
X
X
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X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
* Return to Menu
Please Note: You may not see a pharmacy near you (or even in your state of residence) listed, however the
NCCP pharmacies listed for each state are licensed to dispense and ship compound medications to that state.
Not all NCCP pharmacies participate in all networks.
Please verify the compound credentialed pharmacy participates in your Plan’s network.
10-24-2016
ARIZONA (AZ) – Continued
Pharmacy Name
Address
City
State Phone
National Specialty Pharmacy LLC
2970 St. Rose Parkway #120
Henderson
NV
(702) 832-3320 (702) 425-9704
X
Park Compounding
9257 Research Dr
Irvine
CA
949-551-7195
949-551-1950
X
X
X
X
X
X
X
Partell Specialty Pharmacy East
5835 S Eastern Ave Suite 101
Las Vegas
NV
702-791-3800
702-791-3630
X
X
X
X
X
X
X
Partell Specialty Pharmacy West
8751 W Charleston Blvd Suite 120
Las Vegas
NV
702-685-3800
702-685-3636
X
X
X
X
X
X
Patient Care America
5371 Hiatus Road
Sunrise
FL
954-473-4717
954-473-9519
X
X
Pentec Health, Inc.
4 Creek Parkway
Boothwyn
PA
800-223-4376
610-494-7328
X
X
Pharmacy Creations
540 Route 10 West
Randolph
NJ
973-328-8756
973-328-8731
X
Pharmacy Innovations
1030 Louetta Road Suite C
Houston
TX
281-251-0888
281-251-0889
X
X
Pharmacy Innovations
4000 Park St
St. Petersburg
FL
727-381-0700
727-347-2050
X
X
X
X
Pharmacy Link
3648 Vann Road Building II Suite 116
Birmingham
AL
866-332-6966
866-374-4761
X
X
X
X
X
Pharmacy Solutions
5204 Jackson Road Suite C
Ann Arbor
MI
(734) 821-8000 (734) 821-8001
X
X
X
X
X
Phusion Pharmacy
17 Coventry Shoppers Park
Coventry
RI
401-823-0000
X
X
X
X
X
X
Pinnacle Compounding
1120 Kensington Ave. Ste. E
Missoula
MT
(406) 541-6121 (406) 541-6267
X
X
Potter's House Apothecary
21753 N. 77th Ave #1100
Peoria
AZ
623-362-9322
623-362-9001
X
X
X
X
X
X
X
RepublicRx Specialty Pharmacy
1862 W. Bitters Rd Ste. 100
San Antonio
TX
210-718-0300
210-255-1461
X
X
X
X
Riverpoint Pharmacy
528 E Spokane Fall Blvd #110
Spokane
WA
509-343-6252
509-343-6251
X
X
X
RoxSan Pharmacy
Beverly Hills
Jacksonville
CA
FL
(310) 273-1644 (310) 276-4152
904-361-3861 904-361-3866
X
X
X
Smart Pharmacy
465 N. Roxbury Dr. Ground Floor
3740 St. Johns Bluff Road #19
X
X
X
Sobe Compounding Apothecary
13150 SW 134 St
Miami
FL
305-969-5410
X
X
X
X
Specialty Chemist Corp.
65-60 Fresh Meadow Lane
Fresh Meadows
NY
(718) 353-2595 (718) 886-8658
X
X
Sugar Land Compounding Pharmacy
14823 Southwest Freeway, Suite B
Sugar Land
TX
(281) 302-6080 (281) 302-8259
X
X
X
X
The Daily Dose Pharmacy
4534 West Gate Blvd Ste #111
Austin
TX
(512) 334-9697 (572) 334-9698
X
X
Topical Solutions Pharmacy
20612 N. Cave Creek Rd. #150
Phoenix
AZ
(480) 351-8278 (480) 351-8277
X
TPS
3524 Decatur Highway Suite 302
Fultondale
AL
205-608-4995
205-608-2718
X
Transdermal Therapeutics, Inc.
211 Summit Pkwy Suite 124
Homewood
AL
877-581-5445
877-495-5445
X
Trinity Medical Pharmacy
9332 State Road 54 Suite 203
New Port Richey
FL
727-495-6979
727-213-6979
X
X
X
X
V.L.S. Pharmacy, Inc.
4402 5th Avenue
Brooklyn
NY
(718) 854-1384 (718) 854-4313
X
X
X
X
Vasco Rx Specialty Pharmacy
4045 E Bell Rd Suite 163
Phoenix
AZ
(602) 971-6950 (602) 404-2504
X
X
X
Westchase Compounding Pharmacy
12617 Race Track Road
Tampa
FL
813-925-8200
X
X
Woodland Hills Pharmacy
20361 Ventura Blvd ste 305
Woodland Hills
CA
(855) 876-3060 (866) 893-9320
X
X
Xpress Compounding
1000 W. Weatherford St Suite 120
Fort Worth
TX
844-977-3770
X
X
Return to Instructions
Fax
401-823-0300
305-969-5453
813-925-8933
817-887-5545
TOP
HRT PED NAS STR SUP PTD
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
* Return to Menu
Please Note: You may not see a pharmacy near you (or even in your state of residence) listed, however the
NCCP pharmacies listed for each state are licensed to dispense and ship compound medications to that state.
Not all NCCP pharmacies participate in all networks.
Please verify the compound credentialed pharmacy participates in your Plan’s network.
10-24-2016
ARKANSAS (AR)
Pharmacy Name
Address
City
State Phone
Fax
Advanced Infusion Solutions
623 Highland Colony Parkway Suite 100
Ridgeland
MS
877-443-4006
888-298-2220
America's Best Care Plus, Inc
1825 Everett Drive W.
Fort Payne
AL
800-638-6305
800-638-0294
X
X
X
America's Compounding Center
153 California St.
Newton
MA
617-527-1563
617-527-1565
X
X
X
Anderson Compounding Pharmacy
310 Bluff City Highway
Bristol
TN
423-764-4136
423-764-5167
X
X
X
Assured Rx
13555 Automobile Blvd Suite 230
Clearwater
FL
727-451-6815
888-209-4962
X
Athena Pharmacy
2025 N. Mt. Julliet Rd. Suite 100
Mt Juliet
TN
615-288-4037
615-288-4061
X
X
X
X
Avella of Deer Valley, Inc.
23620 N 20th Drive Suite 12
Phoenix
AZ
877-792-7684
866-792-7684
X
X
X
X
Central Avenue Pharmacy, Inc
133 Fifteenth Street
Pacific Grove
CA
831-373-1225
831-373-3705
X
X
X
X
Central Rexall Drugs, Inc
125 E. Thomas Street
Hammond
LA
985-345-5120
985-345-5178
X
X
X
X
Compound Care Plus Pharmacy
1410 Highway 98 Unit G
Daphne
AL
866-832-2263
866-832-2264
X
X
X
Comprehensive Wellness Pharmacy
2269 Wilma Rudolph Blvd. Suite 103
Clarksville
TN
(855) 806-6042
Conversio Health
720 Aerovista Place Suite D
San Luis Obispo
CA
(866) 239-3784 (800) 977-9255
Custom Pharmacy Solutions
2637 Valleydale Rd.
3510 N Ridge Road Suite 900
Birmingham
Wichita
AL
KS
866-988-3383
316-721-2626
866-988-3553
316-721-4823
X
X
X
X
Custom Rx Pharmacy & Wellness Concepts
X
X
X
X
DermaTran Health Solutions
2700 Stanley Gault Pkwy, Ste 103
Louisville
KY
855-675-5240
844-265-1995
X
DermaTran Health Solutions
85 Technology Pkwy NW
Rome
GA
855-675-5240
844-265-1995
X
Diabetes Corporation of America
4701 Trousdale Drive
Nashville
TN
877-730-5770
877-327-9174
X
X
X
Eldon Drug Company
101 S. Maple Street
Eldon
MO
573-392-4588
573-392-4425
X
X
X
Essential Pharmacy Compounding
620 N 114 Street
Omaha
NE
402-408-0015
402-408-0020
X
X
X
Foothills Professional Pharmacy
4545 E. Chandler #100
Phoenix
AZ
480-496-4444
480-496-4450
X
X
Foundation Care, LLC
4010 Wedgeway Court
Earth City
MO
314-291-1122
314-291-1133
X
Infinity Compounding Solutions
1204 SE 28th Street Suite 2
Bentonville
AR
888-414-5805
855-422-2400
X
X
X
Innovation Compounding Inc
6095 Pine Mountain Road NW suite 108
Kennesaw
GA
770-421-1399
770-426-1965
X
X
X
Inverness Apothecary Trinity
24333 Gordon Terry Parkway Suite B
Trinity
AL
256-260-3350
256-260-3351
X
X
X
X
ITC Compounding & Natural Wellness Pharmacy
651 Topeka Way Ste 600
Castle Rock
CO
303-663-4224
303-663-4263
X
X
X
X
Keystone Pharmacy, LLC
118 Weisenberger #400
Madison
MS
855-739-9948
855-221-0918
X
X
X
X
Lake Side Pharmacy
10005 AL Hwy 9 N
Cedar Bluff
AL
256-422-5010
866-609-4582
X
Lee Silsby Compounding Pharmacy
3216 Silsby Rd
Cleveland Heights OH
216-321-4300
216-321-4303
X
X
MasterPharm
115-02 Liberty Avenue
Richmond Hill
NY
718-529-5500
718-529-2780
X
X
Medaus Pharmacy
6801 Cahaba Valley Rd Suite 116
Birmingham
AL
(205) 981-2352 (205) 981-2767
X
X
X
Millers Compounding Pharmacy
678 Wyckoff Avenue
Wyckoff
NJ
888-891-3334
866-891-3334
X
X
X
Patient Care America
5371 Hiatus Road
Sunrise
FL
954-473-4717
954-473-9519
X
X
Pentec Health, Inc.
4 Creek Parkway
Boothwyn
PA
800-223-4376
610-494-7328
X
X
Pharmacy Creations
540 Route 10 West
Randolph
NJ
973-328-8756
973-328-8731
X
Pharmacy Link
3648 Vann Road Building II Suite 116
Birmingham
AL
866-332-6966
866-374-4761
X
X
Phusion Pharmacy
17 Coventry Shoppers Park
Coventry
RI
401-823-0000
401-823-0300
X
X
Pinnacle Compounding
1120 Kensington Ave. Ste. E
Missoula
MT
(406) 541-6121 (406) 541-6267
X
X
Professional Arts Pharmacy
128 Curran Lane
Lafayette
LA
337-991-0101
X
X
X
X
Red River Pharmacy Services Inc
1327 College Drive
Texarkana
TX
(903) 792-7435 (903) 793-0485
X
X
X
X
X
Stark Pharmacy
5701 W 119th Street
Overland Park
KS
X
X
X
X
X
X
6136 E 51st Street
Tulsa
OK
913-345-3803
918-665-8283
X
The Apothecary Shoppe (Tulsa)
913-345-3800
918-665-2003
X
X
X
X
X
X
X
Transdermal Therapeutics, Inc.
211 Summit Pkwy Suite 124
Homewood
AL
877-581-5445
877-495-5445
X
Vasco Rx Specialty Pharmacy
4045 E Bell Rd Suite 163
Phoenix
AZ
(602) 971-6950 (602) 404-2504
X
X
X
X
X
X
X
Xpress Compounding
1000 W. Weatherford St Suite 120
Fort Worth
TX
844-977-3770
X
X
X
X
X
X
Return to Instructions
TOP
HRT PED NAS STR SUP PTD
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
337-991-0151
817-887-5545
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
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X
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X
X
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X
X
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X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
* Return to Menu
Please Note: You may not see a pharmacy near you (or even in your state of residence) listed, however the
NCCP pharmacies listed for each state are licensed to dispense and ship compound medications to that state.
Not all NCCP pharmacies participate in all networks.
Please verify the compound credentialed pharmacy participates in your Plan’s network.
10-24-2016
CALIFORNIA (CA)
Pharmacy Name
Address
City
State Phone
AAA Compounding Pharmacy
7921 Westminster Blvd.
Westminster
CA
(714) 988-6888 (714) 677-2400
Fax
TOP
Advanced Infusion Solutions
623 Highland Colony Parkway Suite 100
Ridgeland
MS
877-443-4006
Advanced Therapeutics
319 E Palm Dr. Ste A & B
Placentia
CA
(714) 667-3832 (888) 978-5154
X
America's Best Care Plus, Inc
1825 Everett Drive W.
Fort Payne
AL
800-638-6305
800-638-0294
X
Assured Rx
13555 Automobile Blvd Suite 230
Clearwater
FL
727-451-6815
888-209-4962
X
Avella of Deer Valley, Inc.
23620 N 20th Drive Suite 12
Phoenix
AZ
877-792-7684
866-792-7684
Boothwyn Pharmacy
2341 Chichester Ave
Boothwyn
PA
610-485-1130
610-485-9223
CDM Drugs
2865 E Coast Hwy, Ste 150
Corona Del Mar
CA
Central Avenue Pharmacy, Inc
133 Fifteenth Street
Pacific Grove
Chemistry Rx
829 Spruce Street Suite 100
Philadelphia
Compound Pharmaceutical Technologies
1048 Stanton Road Suite B
Conversio Health
CureRx Compounding Pharmacy
X
HRT PED NAS STR SUP PTD
X
X
X
888-298-2220
X
X
X
X
X
X
X
X
X
X
X
X
X
(949) 644-7575 (949) 644-2340
X
X
CA
831-373-1225
831-373-3705
X
X
X
X
X
PA
855-790-0100
267-861-0862
X
X
X
X
X
Daphne
AL
251-626-2820
251-626-2850
X
X
X
X
720 Aerovista Place Suite D
San Luis Obispo
CA
(866) 239-3784 (800) 977-9255
5060 W. Sunset Blvd Suite C
Los Angeles
CA
323-667-1111
323-667-1131
X
Curexa
3007 Ocean Heights Ave
Egg Harbor Township NJ
609-927-0390
609-927-0392
X
X
X
X
Custom HealthCare Compounding Pharmacy
24022 Calle De La Plata Suite 510
Laguna Hills
CA
(949) 595-2273 (949) 595-2275
X
X
X
X
Eastern States Compounding Pharmacy
338 Union Street
Littleton
NH
603-444-0094
603-444-0095
X
X
X
X
X
Essential Pharmacy Compounding
620 N 114 Street
Omaha
NE
402-408-0015
402-408-0020
X
X
X
X
X
Farma Pharmacy
5240 San Fernando Road
Glendale
CA
(844) 849-3690 (818) 638-3136
X
Foothills Professional Pharmacy
4545 E. Chandler #100
Phoenix
AZ
480-496-4444
480-496-4450
X
Foundation Care, LLC
4010 Wedgeway Court
Earth City
MO
314-291-1122
314-291-1133
X
Fusion Rx Compounding Pharmacy
Los Angeles
Santa Clara
CA
UT
(310) 204-6676 (310) 204-6678
435-703-9680 435-703-9681
X
X
X
X
Fusion Specialty Pharmacy
2001 Westwood Blvd. Suite A
1100 Canyon View Drive Suite C
X
X
X
X
Harbor Compounding and Home Healthcare
2000 Harbor Blvd Suite C100
Costa Mesa
CA
949-642-0106
949-642-5039
X
X
X
X
Hopewell Pharmacy
1 West Borad Street
Hopewell
NJ
609-466-1960
609-466-8222
X
X
X
X
Infinity Compounding Solutions
1204 SE 28th Street Suite 2
Bentonville
AR
888-414-5805
855-422-2400
X
X
X
X
Innovation Compounding Inc
6095 Pine Mountain Road NW suite 108
Kennesaw
GA
770-421-1399
770-426-1965
X
X
X
Iron Horse Specialty Pharmacy
1479 Ygnacio Valley Rd. Ste 101
Walnut Creek
CA
(925) 949-8915 (925) 954-8254
X
X
Kohana Pharmacy
181 Tank Farm Road Suite 120
San Luis Obispo
CA
805-542-0864
805-542-0867
X
X
X
La Vita Compounding Pharmacy
3978 Sorrento Valley Blvd #300
San Diego
CA
858-453-2500
858-453-2501
X
X
X
Lake Side Pharmacy
10005 AL Hwy 9 N
Cedar Bluff
AL
256-422-5010
866-609-4582
X
Lee Silsby Compounding Pharmacy
3216 Silsby Rd
Cleveland Heights
OH
216-321-4300
216-321-4303
X
X
MasterPharm
115-02 Liberty Avenue
Richmond Hill
NY
718-529-5500
718-529-2780
X
X
Medaus Pharmacy
6801 Cahaba Valley Rd Suite 116
Birmingham
AL
(205) 981-2352 (205) 981-2767
X
X
X
Medtown Rx
4128 W. Burbank Blvd
Burbank
CA
(818) 500-0079 (818) 500-0225
X
X
X
X
Millers Compounding Pharmacy
678 Wyckoff Avenue
Wyckoff
NJ
888-891-3334
X
X
X
X
National Specialty Pharmacy LLC
2970 St. Rose Parkway #120
Henderson
NV
(702) 832-3320 (702) 425-9704
X
Owens Healthcare #8
2025 Court Street Suite B
Redding
CA
530-244-8669
530-243-0687
X
X
X
X
Park Compounding
9257 Research Dr
Irvine
CA
949-551-7195
949-551-1950
X
X
X
X
X
Partell Specialty Pharmacy East
5835 S Eastern Ave Suite 101
Las Vegas
NV
702-791-3800
702-791-3630
X
X
X
X
X
Patient Care America
5371 Hiatus Road
Sunrise
FL
954-473-4717
954-473-9519
X
Pentec Health, Inc.
4 Creek Parkway
Boothwyn
PA
800-223-4376
610-494-7328
X
Pharmacy Innovations
2936 W. 17th ST
Erie
PA
814-838-2102
814-838-2103
Pharmacy Solutions
5204 Jackson Road Suite C
Ann Arbor
MI
Pinnacle Compounding
1120 Kensington Ave. Ste. E
Missoula
Riverpoint Pharmacy
528 E Spokane Fall Blvd #110
RoxSan Pharmacy
465 N. Roxbury Dr. Ground Floor
San Ramon Custom Care Pharmacy
866-891-3334
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
(734) 821-8000 (734) 821-8001
X
X
X
MT
(406) 541-6121 (406) 541-6267
X
X
Spokane
WA
509-343-6252
X
X
X
Beverly Hills
CA
(310) 273-1644 (310) 276-4152
X
X
X
X
124 Market Place
San Ramon
CA
(925) 830-0555 (925) 830-0450
X
X
X
X
Scriptworks Pharmacy
480 N Wiget Lane
Walnut Creek
CA
925-934-4400
925-934-4442
X
X
X
X
Sobe Compounding Apothecary
13150 SW 134 St
Miami
FL
305-969-5410
305-969-5453
X
X
X
X
X
X
Valley Prescription and Compounding Pharmacy
330 E. 13th St
Merced
CA
209-722-5765
209-722-3296
X
X
X
Vasco Rx Specialty Pharmacy
4045 E Bell Rd Suite 163
Phoenix
AZ
(602) 971-6950 (602) 404-2504
X
X
X
X
X
X
Woodland Hills Pharmacy
20361 Ventura Blvd ste 305
Woodland Hills
CA
(855) 876-3060 (866) 893-9320
X
X
X
X
Return to Instructions
X
X
X
509-343-6251
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
* Return to Menu
Please Note: You may not see a pharmacy near you (or even in your state of residence) listed, however the
NCCP pharmacies listed for each state are licensed to dispense and ship compound medications to that state.
Not all NCCP pharmacies participate in all networks.
Please verify the compound credentialed pharmacy participates in your Plan’s network.
10-24-2016
COLORADO (CO)
Pharmacy Name
Address
City
State Phone
Fax
Acton Pharmacy Inc
563 Massachusetts Ave
Acton
MA
978-263-3901
978-263-3901
Advanced Infusion Solutions
623 Highland Colony Parkway Suite 100
Ridgeland
MS
877-443-4006
888-298-2220
America's Best Care Plus, Inc
1825 Everett Drive W.
Fort Payne
AL
800-638-6305
800-638-0294
X
X
X
America's Compounding Center
153 California St.
Newton
MA
617-527-1563
617-527-1565
X
X
X
Anderson Compounding Pharmacy
310 Bluff City Highway
Bristol
TN
423-764-4136
423-764-5167
X
X
X
Ashland Health
12 N. Catherine Ave
La Grange
IL
708-482-4000
708-482-4004
X
Assured Rx
13555 Automobile Blvd Suite 230
Clearwater
FL
727-451-6815
888-209-4962
X
Athena Pharmacy
2025 N. Mt. Julliet Rd. Suite 100
Mt Juliet
TN
615-288-4037
615-288-4061
X
X
X
X
Avella of Deer Valley, Inc.
23620 N 20th Drive Suite 12
Phoenix
AZ
877-792-7684
866-792-7684
X
X
X
X
Central Avenue Pharmacy, Inc
133 Fifteenth Street
Pacific Grove
CA
831-373-1225
831-373-3705
X
X
X
X
Central Rexall Drugs, Inc
125 E. Thomas Street
Hammond
LA
985-345-5120
985-345-5178
X
X
X
X
Century Pharmacy LLC
37 W. Century Rd Suite 113
Paramus
NJ
201-261-6479
201-261-9479
X
Clearspring Pharmacy
206 W. County Line Road Suite 100
Highlands Ranch
CO
303-707-1500
303-707-1717
X
X
X
Compound Care Plus Pharmacy
1410 Highway 98 Unit G
Daphne
AL
866-832-2263
866-832-2264
X
X
X
Compounding Docs Inc
5499 N Federal Hwy Suite G
Boca Raton
FL
561-826-0711
561-826-0717
X
X
X
X
Conversio Health
720 Aerovista Place Suite D
San Luis Obispo
CA
(866) 239-3784 (800) 977-9255
X
X
Curexa
3007 Ocean Heights Ave
Egg Harbor Township NJ
609-927-0390
609-927-0392
X
X
Custom Meds, Inc.
102 E Highland Blvd
Inverness
FL
352-341-1212
352-341-2626
X
X
Custom Pharmacy Solutions
Birmingham
Wichita
AL
KS
866-988-3383
316-721-2626
866-988-3553
316-721-4823
X
X
X
X
Custom Rx Pharmacy & Wellness Concepts
2637 Valleydale Rd.
3510 N Ridge Road Suite 900
X
X
X
X
DermaTran Health Solutions
2700 Stanley Gault Pkwy, Ste 103
Louisville
KY
855-675-5240
844-265-1995
X
DermaTran Health Solutions
85 Technology Pkwy NW
Rome
GA
855-675-5240
844-265-1995
X
Diabetes Corporation of America
4701 Trousdale Drive
Nashville
TN
877-730-5770
877-327-9174
X
X
X
Eastern States Compounding Pharmacy
338 Union Street
Littleton
NH
603-444-0094
603-444-0095
X
X
X
X
X
Essential Pharmacy Compounding
620 N 114 Street
Omaha
NE
402-408-0015
402-408-0020
X
X
X
X
X
X
X
Everwell Specialty Pharmacy
825 E. Burgess Road
Pensacola
FL
850-473-9190
850-473-9935
X
X
X
X
X
X
X
Foothills Professional Pharmacy
4545 E. Chandler #100
Phoenix
AZ
480-496-4444
480-496-4450
X
X
Foundation Care, LLC
4010 Wedgeway Court
Earth City
MO
314-291-1122
314-291-1133
X
Fusion Rx Compounding Pharmacy
Los Angeles
Santa Clara
CA
UT
(310) 204-6676 (310) 204-6678
435-703-9680 435-703-9681
X
X
X
X
Fusion Specialty Pharmacy
2001 Westwood Blvd. Suite A
1100 Canyon View Drive Suite C
X
X
X
X
Harbor Compounding and Home Healthcare
2000 Harbor Blvd Suite C100
Costa Mesa
CA
949-642-0106
949-642-5039
X
X
X
X
Highland Pharmacy
717 Encino Place NE Suite 1
Albuquerque
NM
505-243-3777
505-242-3216
X
X
X
X
Hopewell Pharmacy
Hopewell
Tampa
NJ
FL
609-466-1960
813-839-8861
609-466-8222
813-839-8941
X
X
X
Hoye's Pharmacy
1 West Borad Street
4330 South Manhattan Avenue
X
X
X
Imprimis Rx
780 Primos Ave Unit E
Folcroft
PA
(888) 824-8100 (866) 302-7625
Infinity Compounding Solutions
1204 SE 28th Street Suite 2
Bentonville
AR
888-414-5805
855-422-2400
X
X
X
Innovation Compounding Inc
6095 Pine Mountain Road NW suite 108
Kennesaw
GA
770-421-1399
770-426-1965
X
X
X
Inverness Apothecary Trinity
24333 Gordon Terry Parkway Suite B
Trinity
AL
256-260-3350
256-260-3351
X
X
X
X
ITC Compounding & Natural Wellness Pharmacy
651 Topeka Way Ste 600
Castle Rock
CO
303-663-4224
303-663-4263
X
X
X
X
Keystone Pharmacy, LLC
118 Weisenberger #400
Madison
MS
855-739-9948
855-221-0918
X
X
X
X
La Vita Compounding Pharmacy
3978 Sorrento Valley Blvd #300
San Diego
CA
858-453-2500
858-453-2501
X
X
X
X
Lake Side Pharmacy
10005 AL Hwy 9 N
Cedar Bluff
AL
256-422-5010
866-609-4582
X
Lee Silsby Compounding Pharmacy
3216 Silsby Rd
Cleveland Heights
OH
216-321-4300
216-321-4303
X
X
X
Magnolia Specialty Pharmacy
163 Turtle Creek Drive Suite 130
Hattiesburg
MS
877-871-3935
888-990-0575
X
X
X
MasterPharm
115-02 Liberty Avenue
Richmond Hill
NY
718-529-5500
718-529-2780
X
X
X
Medaus Pharmacy
6801 Cahaba Valley Rd Suite 116
Birmingham
AL
(205) 981-2352 (205) 981-2767
X
X
X
Medscript Pharmacy
14400 John Humphery Drive Ste 110
Orland Park
IL
708-460-4930
708-460-4932
X
Millers Compounding Pharmacy
678 Wyckoff Avenue
Wyckoff
NJ
888-891-3334
866-891-3334
X
X
X
National Specialty Pharmacy LLC
2970 St. Rose Parkway #120
Henderson
NV
(702) 832-3320 (702) 425-9704
Return to Instructions
TOP
X
HRT PED NAS STR SUP PTD
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X
X
X
X
X
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X
X
X
X
X
X
X
X
X
X
* Return to Menu
Please Note: You may not see a pharmacy near you (or even in your state of residence) listed, however the
NCCP pharmacies listed for each state are licensed to dispense and ship compound medications to that state.
Not all NCCP pharmacies participate in all networks.
Please verify the compound credentialed pharmacy participates in your Plan’s network.
10-24-2016
COLORADO (CO) – Continued
Pharmacy Name
Address
City
State Phone
Fax
Park Compounding
9257 Research Dr
Irvine
CA
949-551-7195
949-551-1950
X
X
X
X
X
X
X
Partell Specialty Pharmacy East
5835 S Eastern Ave Suite 101
Las Vegas
NV
702-791-3800
702-791-3630
X
X
X
X
X
X
X
Partell Specialty Pharmacy West
8751 W Charleston Blvd Suite 120
Las Vegas
NV
702-685-3800
702-685-3636
X
X
X
X
X
X
Patient Care America
5371 Hiatus Road
Sunrise
FL
954-473-4717
954-473-9519
X
X
Pentec Health, Inc.
4 Creek Parkway
Boothwyn
PA
800-223-4376
610-494-7328
X
X
Pharmacy Creations
540 Route 10 West
Randolph
NJ
973-328-8756
973-328-8731
X
Pharmacy Innovations
2936 W. 17th ST
Erie
PA
814-838-2102
814-838-2103
X
X
Pharmacy Innovations
4000 Park St
St. Petersburg
FL
727-381-0700
727-347-2050
X
X
Pharmacy Link
3648 Vann Road Building II Suite 116
Birmingham
AL
866-332-6966
866-374-4761
X
X
Pharmacy Solutions
Ann Arbor
Altamonte Springs
MI
FL
(734) 821-8000 (734) 821-8001
407-260-7002 407-260-7044
X
X
X
Pharmacy Specialists
5204 Jackson Road Suite C
393 Maitland Ave
X
X
X
X
Phusion Pharmacy
17 Coventry Shoppers Park
Coventry
RI
401-823-0000
X
X
X
X
Pinnacle Compounding
1120 Kensington Ave. Ste. E
Missoula
MT
(406) 541-6121 (406) 541-6267
X
X
Premier Custom Pharmacy
2000 PGA Blvd. Ste. 5507
Palm Beach Gardens FL
561-691-4998
561-691-4998
X
X
X
RepublicRx Specialty Pharmacy
1862 W. Bitters Rd Ste. 100
San Antonio
TX
210-718-0300
210-255-1461
X
X
X
RoxSan Pharmacy
465 N. Roxbury Dr. Ground Floor
3740 St. Johns Bluff Road #19
Beverly Hills
Jacksonville
CA
FL
(310) 273-1644 (310) 276-4152
904-361-3861 904-361-3866
X
X
X
X
Smart Pharmacy
X
X
X
Sobe Compounding Apothecary
13150 SW 134 St
Miami
FL
305-969-5410
X
X
X
Specialty Chemist Corp.
65-60 Fresh Meadow Lane
Fresh Meadows
NY
(718) 353-2595 (718) 886-8658
X
X
Topical Solutions Pharmacy
20612 N. Cave Creek Rd. #150
Phoenix
AZ
(480) 351-8278 (480) 351-8277
X
TPS
3524 Decatur Highway Suite 302
Fultondale
AL
205-608-4995
205-608-2718
X
Transdermal Therapeutics, Inc.
211 Summit Pkwy Suite 124
Homewood
AL
877-581-5445
877-495-5445
X
V.L.S. Pharmacy, Inc.
4402 5th Avenue
Brooklyn
NY
(718) 854-1384 (718) 854-4313
X
X
X
X
X
X
X
Vasco Rx Specialty Pharmacy
4045 E Bell Rd Suite 163
Phoenix
AZ
(602) 971-6950 (602) 404-2504
X
X
X
X
X
X
X
Woodland Hills Pharmacy
20361 Ventura Blvd ste 305
Woodland Hills
CA
(855) 876-3060 (866) 893-9320
X
X
X
X
Xpress Compounding
1000 W. Weatherford St Suite 120
Fort Worth
TX
844-977-3770
X
X
X
X
Return to Instructions
401-823-0300
305-969-5453
817-887-5545
TOP
HRT PED NAS STR SUP PTD
X
X
X
X
X
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X
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X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
* Return to Menu
Please Note: You may not see a pharmacy near you (or even in your state of residence) listed, however the
NCCP pharmacies listed for each state are licensed to dispense and ship compound medications to that state.
Not all NCCP pharmacies participate in all networks.
Please verify the compound credentialed pharmacy participates in your Plan’s network.
10-24-2016
CONNECTICUT (CT)
Pharmacy Name
Address
City
State Phone
Access Compounding Pharmacy
1450 Emerson Ave. #110
McLean
VA
(571) 488-6620 (571) 488-6621
X
Acton Pharmacy Inc
563 Massachusetts Ave
Acton
MA
978-263-3901
978-263-3901
X
Advanced Infusion Solutions
623 Highland Colony Parkway Suite 100
Ridgeland
MS
877-443-4006
888-298-2220
Advanced Therapeutics
319 E Palm Dr. Ste A & B
Placentia
CA
(714) 667-3832 (888) 978-5154
X
America's Best Care Plus, Inc
1825 Everett Drive W.
Fort Payne
AL
800-638-6305
800-638-0294
X
X
X
America's Compounding Center
153 California St.
Newton
MA
617-527-1563
617-527-1565
X
X
X
Anderson Compounding Pharmacy
310 Bluff City Highway
Bristol
TN
423-764-4136
423-764-5167
X
X
X
Ashland Health
12 N. Catherine Ave
La Grange
IL
708-482-4000
708-482-4004
X
Assured Rx
13555 Automobile Blvd Suite 230
Clearwater
FL
727-451-6815
888-209-4962
X
Athena Pharmacy
2025 N. Mt. Julliet Rd. Suite 100
Mt Juliet
TN
615-288-4037
615-288-4061
X
X
Auxilium Specialty Apothecary Pharmacy
16 Keystone Drive Suite B
Hattiesburg
MS
877-847-4612
888-615-6578
X
X
Avella of Deer Valley, Inc.
23620 N 20th Drive Suite 12
Phoenix
AZ
877-792-7684
866-792-7684
X
X
X
X
Birds Hill Pharmacy
401 Great Plain Ave
Needham
MA
781-449-0550
781-449-7993
X
X
X
X
Boothwyn Pharmacy
2341 Chichester Ave
Boothwyn
PA
610-485-1130
610-485-9223
X
X
X
Central Avenue Pharmacy, Inc
133 Fifteenth Street
Pacific Grove
CA
831-373-1225
831-373-3705
X
X
X
X
Central Rexall Drugs, Inc
125 E. Thomas Street
Hammond
LA
985-345-5120
985-345-5178
X
X
X
X
Century Pharmacy LLC
37 W. Century Rd Suite 113
Paramus
NJ
201-261-6479
201-261-9479
X
Chemistry Rx
829 Spruce Street Suite 100
Philadelphia
PA
855-790-0100
267-861-0862
X
X
X
Compound Care Plus Pharmacy
1410 Highway 98 Unit G
Daphne
AL
866-832-2263
866-832-2264
X
X
X
Compounding Docs Inc
5499 N Federal Hwy Suite G
Boca Raton
FL
561-826-0711
561-826-0717
X
X
X
X
Conversio Health
720 Aerovista Place Suite D
San Luis Obispo
CA
(866) 239-3784 (800) 977-9255
X
X
Curexa
3007 Ocean Heights Ave
Egg Harbor Township NJ
609-927-0390
609-927-0392
X
X
Custom Meds, Inc.
102 E Highland Blvd
Inverness
FL
352-341-1212
352-341-2626
X
X
Custom Pharmacy Solutions
2637 Valleydale Rd.
Birmingham
AL
866-988-3383
866-988-3553
X
X
DermaTran Health Solutions
2700 Stanley Gault Pkwy, Ste 103
Louisville
KY
855-675-5240
844-265-1995
X
DermaTran Health Solutions
85 Technology Pkwy NW
Rome
GA
855-675-5240
844-265-1995
X
Eastern States Compounding Pharmacy
338 Union Street
Littleton
NH
603-444-0094
603-444-0095
X
X
X
X
X
Essential Pharmacy Compounding
620 N 114 Street
Omaha
NE
402-408-0015
402-408-0020
X
X
X
X
X
Foothills Professional Pharmacy
4545 E. Chandler #100
Phoenix
AZ
480-496-4444
480-496-4450
X
X
Foundation Care, LLC
4010 Wedgeway Court
Earth City
MO
314-291-1122
314-291-1133
X
Fusion Rx Compounding Pharmacy
2001 Westwood Blvd. Suite A
Los Angeles
CA
(310) 204-6676 (310) 204-6678
X
X
X
Haldey Pharmaceutical Compounding
2510 Westchester Ave Suite 207
Bronx
NY
855-426-6768
855-326-6768
X
X
X
X
X
Hopewell Pharmacy
Hopewell
Tampa
NJ
FL
609-466-1960
813-839-8861
609-466-8222
813-839-8941
X
X
X
X
X
X
X
Hoye's Pharmacy
1 West Borad Street
4330 South Manhattan Avenue
X
X
X
X
X
X
Imprimis Rx
780 Primos Ave Unit E
Folcroft
PA
(888) 824-8100 (866) 302-7625
Innovation Compounding Inc
6095 Pine Mountain Road NW suite 108
Kennesaw
GA
770-421-1399
770-426-1965
X
X
X
X
X
Inverness Apothecary Trinity
24333 Gordon Terry Parkway Suite B
Trinity
AL
256-260-3350
256-260-3351
X
X
X
X
ITC Compounding & Natural Wellness Pharmacy
651 Topeka Way Ste 600
Castle Rock
CO
303-663-4224
303-663-4263
X
X
X
X
Johnson Compounding & Wellness
577 Main Street
Waltham
MA
781-893-3870
781-899-1172
X
X
X
X
Lee Silsby Compounding Pharmacy
3216 Silsby Rd
Cleveland Heights
OH
216-321-4300
216-321-4303
X
X
X
Magnolia Specialty Pharmacy
163 Turtle Creek Drive Suite 130
Hattiesburg
MS
877-871-3935
888-990-0575
X
X
X
MasterPharm
115-02 Liberty Avenue
Richmond Hill
NY
718-529-5500
718-529-2780
X
X
X
Medaus Pharmacy
6801 Cahaba Valley Rd Suite 116
Birmingham
AL
(205) 981-2352 (205) 981-2767
X
X
X
Millers Compounding Pharmacy
678 Wyckoff Avenue
Wyckoff
NJ
888-891-3334
X
X
X
National Specialty Pharmacy LLC
2970 St. Rose Parkway #120
Henderson
NV
(702) 832-3320 (702) 425-9704
Return to Instructions
Fax
866-891-3334
TOP
HRT PED NAS STR SUP PTD
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X
X
X
* Return to Menu
Please Note: You may not see a pharmacy near you (or even in your state of residence) listed, however the
NCCP pharmacies listed for each state are licensed to dispense and ship compound medications to that state.
Not all NCCP pharmacies participate in all networks.
Please verify the compound credentialed pharmacy participates in your Plan’s network.
10-24-2016
CONNECTICUT (CT) – Continued
Pharmacy Name
Address
City
State Phone
Fax
Park Compounding
9257 Research Dr
Irvine
CA
949-551-7195
949-551-1950
Patient Care America
5371 Hiatus Road
Sunrise
FL
954-473-4717
954-473-9519
X
X
Pentec Health, Inc.
4 Creek Parkway
Boothwyn
PA
800-223-4376
610-494-7328
X
X
Pentec Health, Inc.
120 Forbes Blvd Suite 140
Mansfield
MA
800-233-4376
610-494-7328
X
PerforMix Specialty Pharmacy
25 Pelham Rd
Salem
NH
603-870-9618
603-870-9621
X
Pharmacy Creations
540 Route 10 West
Randolph
NJ
973-328-8756
973-328-8731
X
Pharmacy Innovations
2936 W. 17th ST
Erie
PA
814-838-2102
814-838-2103
X
X
Pharmacy Link
3648 Vann Road Building II Suite 116
Birmingham
AL
866-332-6966
866-374-4761
X
X
Pharmacy Solutions
5204 Jackson Road Suite C
Ann Arbor
MI
(734) 821-8000 (734) 821-8001
X
X
X
Phusion Pharmacy
17 Coventry Shoppers Park
Coventry
RI
401-823-0000
X
X
X
Pinnacle Compounding
1120 Kensington Ave. Ste. E
Missoula
MT
(406) 541-6121 (406) 541-6267
X
X
PROMED PHARMACY
537 East Meadow Ave
East Meadow
NY
516-307-9200
X
X
X
X
X
ReadyScrip Advanced Pharma
201 Route 17 North, 11th floor
Rutherford
NJ
(201) 549-8895 (201) 549-8878
X
X
X
X
X
RepublicRx Specialty Pharmacy
1862 W. Bitters Rd Ste. 100
San Antonio
TX
210-718-0300
X
X
X
X
X
RoxSan Pharmacy
465 N. Roxbury Dr. Ground Floor
3740 St. Johns Bluff Road #19
Beverly Hills
Jacksonville
CA
FL
(310) 273-1644 (310) 276-4152
904-361-3861 904-361-3866
X
X
X
X
Smart Pharmacy
X
X
X
Sobe Compounding Apothecary
13150 SW 134 St
Miami
FL
305-969-5410
X
X
X
Specialty Chemist Corp.
65-60 Fresh Meadow Lane
Fresh Meadows
NY
(718) 353-2595 (718) 886-8658
X
X
TPS
3524 Decatur Highway Suite 302
Fultondale
AL
205-608-4995
205-608-2718
X
Transdermal Therapeutics, Inc.
211 Summit Pkwy Suite 124
Homewood
AL
877-581-5445
877-495-5445
X
Trinity Medical Pharmacy
9332 State Road 54 Suite 203
New Port Richey
FL
727-495-6979
727-213-6979
X
X
X
X
Vasco Rx Specialty Pharmacy
4045 E Bell Rd Suite 163
Phoenix
AZ
(602) 971-6950 (602) 404-2504
X
X
X
X
Westchase Compounding Pharmacy
12617 Race Track Road
Tampa
FL
813-925-8200
X
X
X
X
Woodland Hills Pharmacy
20361 Ventura Blvd ste 305
Woodland Hills
CA
(855) 876-3060 (866) 893-9320
X
X
X
X
Return to Instructions
401-823-0300
516-307-9191
210-255-1461
305-969-5453
813-925-8933
TOP
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* Return to Menu
Please Note: You may not see a pharmacy near you (or even in your state of residence) listed, however the
NCCP pharmacies listed for each state are licensed to dispense and ship compound medications to that state.
Not all NCCP pharmacies participate in all networks.
Please verify the compound credentialed pharmacy participates in your Plan’s network.
10-24-2016
DISTRICT OF COLUMBIA (DC)
Pharmacy Name
Address
City
State Phone
Fax
Allcare Pharmacy and Healthcare Services
112 S. Oxley Drive
Lyons
GA
912-526-3200
912-526-5960
X
X
X
X
Anderson Compounding Pharmacy
310 Bluff City Highway
Bristol
TN
423-764-4136
423-764-5167
X
X
X
X
Assured Rx
13555 Automobile Blvd Suite 230
Clearwater
FL
727-451-6815
888-209-4962
X
Athena Pharmacy
2025 N. Mt. Julliet Rd. Suite 100
Mt Juliet
TN
615-288-4037
615-288-4061
X
X
X
X
Avella of Deer Valley, Inc.
23620 N 20th Drive Suite 12
Phoenix
AZ
877-792-7684
866-792-7684
X
X
X
X
Boothwyn Pharmacy
2341 Chichester Ave
Boothwyn
PA
610-485-1130
610-485-9223
X
X
X
Bradley Drugs
6900 Arlington Road
Bethesda
MD
(301) 654-6776 (301) 657-9361
X
X
X
X
Central Avenue Pharmacy, Inc
133 Fifteenth Street
Pacific Grove
CA
831-373-1225
831-373-3705
X
X
X
X
Central Rexall Drugs, Inc
125 E. Thomas Street
Hammond
LA
985-345-5120
985-345-5178
X
X
X
X
Century Pharmacy LLC
37 W. Century Rd Suite 113
Paramus
NJ
201-261-6479
201-261-9479
X
Curexa
3007 Ocean Heights Ave
Egg Harbor Township NJ
609-927-0390
609-927-0392
X
X
Custom Meds, Inc.
102 E Highland Blvd
Inverness
FL
352-341-1212
352-341-2626
X
X
Custom Pharmacy Solutions
2637 Valleydale Rd.
Birmingham
AL
866-988-3383
866-988-3553
X
X
X
X
Everwell Specialty Pharmacy
825 E. Burgess Road
Pensacola
FL
850-473-9190
850-473-9935
X
X
X
X
Foothills Professional Pharmacy
4545 E. Chandler #100
Phoenix
AZ
480-496-4444
480-496-4450
X
X
Hopewell Pharmacy
1 West Borad Street
Hopewell
NJ
609-466-1960
609-466-8222
X
X
Imprimis Rx
780 Primos Ave Unit E
Folcroft
PA
(888) 824-8100 (866) 302-7625
Infinity Compounding Solutions
1204 SE 28th Street Suite 2
Bentonville
AR
888-414-5805
855-422-2400
X
X
X
Innovation Compounding Inc
6095 Pine Mountain Road NW suite 108
Kennesaw
GA
770-421-1399
770-426-1965
X
X
X
ITC Compounding & Natural Wellness Pharmacy
651 Topeka Way Ste 600
Castle Rock
CO
303-663-4224
303-663-4263
X
X
X
X
Jersey Shore Pharmacy
580 N Main Street
Barnegat
NJ
609-660-1111
609-660-0101
X
X
X
X
Lee Silsby Compounding Pharmacy
3216 Silsby Rd
Cleveland Heights
OH
216-321-4300
216-321-4303
X
X
X
Magnolia Specialty Pharmacy
163 Turtle Creek Drive Suite 130
Hattiesburg
MS
877-871-3935
888-990-0575
X
X
Medaus Pharmacy
6801 Cahaba Valley Rd Suite 116
Birmingham
AL
(205) 981-2352 (205) 981-2767
X
X
X
Medical Center Pharmacy
912 S. 16th Street
Wilmington
NC
910-763-1896
910-763-1709
X
X
X
Medscript Pharmacy
14400 John Humphery Drive Ste 110
Orland Park
IL
708-460-4930
708-460-4932
X
Millers Compounding Pharmacy
678 Wyckoff Avenue
Wyckoff
NJ
888-891-3334
866-891-3334
X
X
Park Compounding
9257 Research Dr
Irvine
CA
949-551-7195
949-551-1950
X
Patterson Park Pharmacy
2245 Eastern ave
Baltimore
MD
(410) 675-6046 (410) 563-1147
X
Pentec Health, Inc.
4 Creek Parkway
Boothwyn
PA
800-223-4376
610-494-7328
Pharmacy Creations
540 Route 10 West
Randolph
NJ
973-328-8756
973-328-8731
X
Pharmacy Innovations
2936 W. 17th ST
Erie
PA
814-838-2102
814-838-2103
X
X
Pharmacy Link
3648 Vann Road Building II Suite 116
Birmingham
AL
866-332-6966
866-374-4761
X
X
Pharmacy Solutions
5204 Jackson Road Suite C
Ann Arbor
MI
(734) 821-8000 (734) 821-8001
X
X
Pinnacle Compounding
1120 Kensington Ave. Ste. E
Missoula
MT
(406) 541-6121 (406) 541-6267
X
X
Premier Pharmacy Inc.
109 Jack White Dr
Kingsport
TN
423-245-1022
X
X
RoxSan Pharmacy
465 N. Roxbury Dr. Ground Floor
Beverly Hills
CA
(310) 273-1644 (310) 276-4152
X
X
X
X
X
X
X
Rx3 Compounding Pharmacy
12230 Ironbridge Rd Suite C
Chester
VA
804-717-5000
804-717-8300
X
X
X
X
X
X
X
Sunquest Pharmaceuticals
150 Eileen Way Suite 1
Syosset
NY
516-513-0799
516-677-6050
X
X
X
X
The Compounding Center
36 Catoctin Circle Southeast
Leesburg
VA
703-779-3301
703-443-2283
X
X
X
X
Topical Solutions Pharmacy
20612 N. Cave Creek Rd. #150
Phoenix
AZ
(480) 351-8278 (480) 351-8277
X
TPS
3524 Decatur Highway Suite 302
Fultondale
AL
205-608-4995
205-608-2718
X
Transdermal Therapeutics, Inc.
211 Summit Pkwy Suite 124
Homewood
AL
877-581-5445
877-495-5445
X
Trinity Medical Pharmacy
9332 State Road 54 Suite 203
New Port Richey
FL
727-495-6979
727-213-6979
X
X
X
Volunteer Pharmacy
2403 US Highway 411 South
Maryville
TN
(865) 724-1453 (865) 724-1601
X
X
X
Westchase Compounding Pharmacy
12617 Race Track Road
Tampa
FL
813-925-8200
813-925-8933
X
X
X
Xpress Compounding
1000 W. Weatherford St Suite 120
Fort Worth
TX
844-977-3770
817-887-5545
X
X
Return to Instructions
423-245-6391
TOP
HRT PED NAS STR SUP PTD
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* Return to Menu
Please Note: You may not see a pharmacy near you (or even in your state of residence) listed, however the
NCCP pharmacies listed for each state are licensed to dispense and ship compound medications to that state.
Not all NCCP pharmacies participate in all networks.
Please verify the compound credentialed pharmacy participates in your Plan’s network.
10-24-2016
DELAWARE (DE)
Pharmacy Name
Address
City
State Phone
Access Compounding Pharmacy
1450 Emerson Ave. #110
McLean
VA
(571) 488-6620 (571) 488-6621
Advanced Infusion Solutions
623 Highland Colony Parkway Suite 100
Ridgeland
MS
877-443-4006
888-298-2220
America's Best Care Plus, Inc
1825 Everett Drive W.
Fort Payne
AL
800-638-6305
800-638-0294
X
X
X
America's Compounding Center
153 California St.
Newton
MA
617-527-1563
617-527-1565
X
X
X
Anderson Compounding Pharmacy
310 Bluff City Highway
Bristol
TN
423-764-4136
423-764-5167
X
X
X
Ashland Health
12 N. Catherine Ave
La Grange
IL
708-482-4000
708-482-4004
X
Assured Rx
13555 Automobile Blvd Suite 230
Clearwater
FL
727-451-6815
888-209-4962
X
Athena Pharmacy
2025 N. Mt. Julliet Rd. Suite 100
Mt Juliet
TN
615-288-4037
615-288-4061
X
X
Auxilium Specialty Apothecary Pharmacy
16 Keystone Drive Suite B
Hattiesburg
MS
877-847-4612
888-615-6578
X
X
Avella of Deer Valley, Inc.
23620 N 20th Drive Suite 12
Phoenix
AZ
877-792-7684
866-792-7684
X
X
X
Boothwyn Pharmacy
2341 Chichester Ave
Boothwyn
PA
610-485-1130
610-485-9223
X
X
X
Central Avenue Pharmacy, Inc
133 Fifteenth Street
Pacific Grove
CA
831-373-1225
831-373-3705
X
X
X
X
Central Rexall Drugs, Inc
125 E. Thomas Street
Hammond
LA
985-345-5120
985-345-5178
X
X
X
X
Century Pharmacy LLC
37 W. Century Rd Suite 113
Paramus
NJ
201-261-6479
201-261-9479
X
Chemistry Rx
829 Spruce Street Suite 100
Philadelphia
PA
855-790-0100
267-861-0862
X
X
X
Compound Care Plus Pharmacy
1410 Highway 98 Unit G
Daphne
AL
866-832-2263
866-832-2264
X
X
X
Conversio Health
720 Aerovista Place Suite D
San Luis Obispo
CA
(866) 239-3784 (800) 977-9255
Curexa
3007 Ocean Heights Ave
Egg Harbor Township NJ
609-927-0390
609-927-0392
X
X
Custom Meds, Inc.
102 E Highland Blvd
Inverness
FL
352-341-1212
352-341-2626
X
X
Custom Pharmacy Solutions
2637 Valleydale Rd.
Birmingham
AL
866-988-3383
866-988-3553
X
X
DermaTran Health Solutions
2700 Stanley Gault Pkwy, Ste 103
Louisville
KY
855-675-5240
844-265-1995
X
DermaTran Health Solutions
85 Technology Pkwy NW
Rome
GA
855-675-5240
844-265-1995
X
Essential Pharmacy Compounding
620 N 114 Street
Omaha
NE
402-408-0015
402-408-0020
X
X
Foothills Professional Pharmacy
4545 E. Chandler #100
Phoenix
AZ
480-496-4444
480-496-4450
X
X
Foundation Care, LLC
4010 Wedgeway Court
Earth City
MO
314-291-1122
314-291-1133
X
Fusion Rx Compounding Pharmacy
2001 Westwood Blvd. Suite A
Los Angeles
CA
(310) 204-6676 (310) 204-6678
X
X
X
X
Hill Country Apothecary
1310 RR 620 S. Suite A-1
Lakeway
TX
512-351-9139
512-366-5573
X
X
X
X
Hopewell Pharmacy
Hopewell
Tampa
NJ
FL
609-466-1960
813-839-8861
609-466-8222
813-839-8941
X
X
X
X
X
X
Hoye's Pharmacy
1 West Borad Street
4330 South Manhattan Avenue
X
X
X
X
X
X
Imprimis Rx
780 Primos Ave Unit E
Folcroft
PA
(888) 824-8100 (866) 302-7625
Infinity Compounding Solutions
1204 SE 28th Street Suite 2
Bentonville
AR
888-414-5805
855-422-2400
X
X
X
Innovation Compounding Inc
6095 Pine Mountain Road NW suite 108
Kennesaw
GA
770-421-1399
770-426-1965
X
X
X
X
X
Inverness Apothecary Trinity
24333 Gordon Terry Parkway Suite B
Trinity
AL
256-260-3350
256-260-3351
X
X
X
X
ITC Compounding & Natural Wellness Pharmacy
651 Topeka Way Ste 600
Castle Rock
CO
303-663-4224
303-663-4263
X
X
X
X
Magnolia Specialty Pharmacy
163 Turtle Creek Drive Suite 130
Hattiesburg
MS
877-871-3935
888-990-0575
X
X
X
MasterPharm
115-02 Liberty Avenue
Richmond Hill
NY
718-529-5500
718-529-2780
X
X
X
Medaus Pharmacy
6801 Cahaba Valley Rd Suite 116
Birmingham
AL
(205) 981-2352 (205) 981-2767
X
X
X
Millers Compounding Pharmacy
678 Wyckoff Avenue
Wyckoff
NJ
888-891-3334
866-891-3334
X
X
X
X
X
X
X
Park Compounding
9257 Research Dr
Irvine
CA
949-551-7195
949-551-1950
X
X
X
X
X
X
X
Patient Care America
5371 Hiatus Road
Sunrise
FL
954-473-4717
954-473-9519
X
X
Pentec Health, Inc.
4 Creek Parkway
Boothwyn
PA
800-223-4376
610-494-7328
X
X
Pharmacy Creations
540 Route 10 West
Randolph
NJ
973-328-8756
973-328-8731
X
Pharmacy Innovations
2936 W. 17th ST
Erie
PA
814-838-2102
814-838-2103
X
X
Pharmacy Innovations
4000 Park St
St. Petersburg
FL
727-381-0700
727-347-2050
X
X
X
X
Pharmacy Link
3648 Vann Road Building II Suite 116
Birmingham
AL
866-332-6966
866-374-4761
X
X
X
X
Pinnacle Compounding
1120 Kensington Ave. Ste. E
Missoula
MT
(406) 541-6121 (406) 541-6267
X
X
X
RepublicRx Specialty Pharmacy
1862 W. Bitters Rd Ste. 100
San Antonio
TX
210-718-0300
X
X
X
X
RoxSan Pharmacy
Beverly Hills
Jacksonville
CA
FL
(310) 273-1644 (310) 276-4152
904-361-3861 904-361-3866
X
X
X
X
Smart Pharmacy
465 N. Roxbury Dr. Ground Floor
3740 St. Johns Bluff Road #19
X
X
X
Specialty Chemist Corp.
65-60 Fresh Meadow Lane
Fresh Meadows
NY
(718) 353-2595 (718) 886-8658
X
X
Transdermal Therapeutics, Inc.
211 Summit Pkwy Suite 124
Homewood
AL
877-581-5445
X
Vasco Rx Specialty Pharmacy
4045 E Bell Rd Suite 163
Phoenix
AZ
(602) 971-6950 (602) 404-2504
X
X
X
X
X
X
X
Westchase Compounding Pharmacy
12617 Race Track Road
Tampa
FL
813-925-8200
X
X
X
X
X
X
X
Woodland Hills Pharmacy
20361 Ventura Blvd ste 305
Woodland Hills
CA
(855) 876-3060 (866) 893-9320
X
X
X
X
Return to Instructions
Fax
210-255-1461
877-495-5445
813-925-8933
TOP
HRT PED NAS STR SUP PTD
X
X
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X
* Return to Menu
Please Note: You may not see a pharmacy near you (or even in your state of residence) listed, however the
NCCP pharmacies listed for each state are licensed to dispense and ship compound medications to that state.
Not all NCCP pharmacies participate in all networks.
Please verify the compound credentialed pharmacy participates in your Plan’s network.
10-24-2016
FLORIDA (FL)
Pharmacy Name
Address
City
State Phone
Fax
Acton Pharmacy Inc
563 Massachusetts Ave
Acton
MA
978-263-3901
978-263-3901
Advanced Infusion Solutions
623 Highland Colony Parkway Suite 100
Ridgeland
MS
877-443-4006
888-298-2220
Allcare Pharmacy and Healthcare Services
112 S. Oxley Drive
Lyons
GA
912-526-3200
912-526-5960
X
X
X
America's Best Care Plus, Inc
1825 Everett Drive W.
Fort Payne
AL
800-638-6305
800-638-0294
X
X
X
America's Compounding Center
153 California St.
Newton
MA
617-527-1563
617-527-1565
X
X
X
Anderson Compounding Pharmacy
310 Bluff City Highway
Bristol
TN
423-764-4136
423-764-5167
X
X
X
Aspirar Pharmacy
135 Parkway Office G STE 105
Cary
NC
919-971-9011
855-382-7700
X
Assured Rx
13555 Automobile Blvd Suite 230
Clearwater
FL
727-451-6815
888-209-4962
X
Athena Pharmacy
2025 N. Mt. Julliet Rd. Suite 100
Mt Juliet
TN
615-288-4037
615-288-4061
X
X
Auxilium Specialty Apothecary Pharmacy
16 Keystone Drive Suite B
Hattiesburg
MS
877-847-4612
888-615-6578
X
X
Avella of Deer Valley, Inc.
23620 N 20th Drive Suite 12
Phoenix
AZ
877-792-7684
866-792-7684
X
X
X
X
Birds Hill Pharmacy
401 Great Plain Ave
Needham
MA
781-449-0550
781-449-7993
X
X
X
X
Boothwyn Pharmacy
2341 Chichester Ave
Boothwyn
PA
610-485-1130
610-485-9223
X
X
X
Buderer Drug Company
633 Hancock Street
Sandusky
OH
419-627-2800
419-626-0494
X
X
X
X
Central Avenue Pharmacy, Inc
133 Fifteenth Street
Pacific Grove
CA
831-373-1225
831-373-3705
X
X
X
X
Central Rexall Drugs, Inc
125 E. Thomas Street
Hammond
LA
985-345-5120
985-345-5178
X
X
X
X
Century Pharmacy LLC
37 W. Century Rd Suite 113
Paramus
NJ
201-261-6479
201-261-9479
X
Chemistry Rx
829 Spruce Street Suite 100
Philadelphia
PA
855-790-0100
267-861-0862
X
X
X
X
City Place Pharmacy
4047 Okeechobee Blvd Ste 218
West Palm Beach
FL
(561) 833-9960 (561) 835-1201
X
X
X
X
Compound Care Plus Pharmacy
1410 Highway 98 Unit G
Daphne
AL
866-832-2263
866-832-2264
X
X
X
Compound Pharmaceutical Technologies
1048 Stanton Road Suite B
Daphne
AL
251-626-2820
251-626-2850
X
X
X
Compounding Docs Inc
5499 N Federal Hwy Suite G
Boca Raton
FL
561-826-0711
561-826-0717
X
X
X
X
Conversio Health
720 Aerovista Place Suite D
San Luis Obispo
CA
(866) 239-3784 (800) 977-9255
X
X
CureRx Compounding Pharmacy
5060 W. Sunset Blvd Suite C
Los Angeles
CA
323-667-1111
323-667-1131
X
Curexa
3007 Ocean Heights Ave
Egg Harbor Township NJ
609-927-0390
609-927-0392
X
X
Custom Meds, Inc.
102 E Highland Blvd
Inverness
FL
352-341-1212
352-341-2626
X
X
Custom Pharmacy Solutions
Birmingham
Wichita
AL
KS
866-988-3383
316-721-2626
866-988-3553
316-721-4823
X
X
X
X
Custom Rx Pharmacy & Wellness Concepts
2637 Valleydale Rd.
3510 N Ridge Road Suite 900
X
X
X
X
DermaTran Health Solutions
2700 Stanley Gault Pkwy, Ste 103
Louisville
KY
855-675-5240
844-265-1995
X
DermaTran Health Solutions
85 Technology Pkwy NW
Rome
GA
855-675-5240
844-265-1995
X
Diabetes Corporation of America
4701 Trousdale Drive
Nashville
TN
877-730-5770
877-327-9174
X
X
X
Eastern States Compounding Pharmacy
338 Union Street
Littleton
NH
603-444-0094
603-444-0095
X
X
X
X
X
Essential Pharmacy Compounding
620 N 114 Street
Omaha
NE
402-408-0015
402-408-0020
X
X
X
X
X
X
X
Everwell Specialty Pharmacy
825 E. Burgess Road
Pensacola
FL
850-473-9190
850-473-9935
X
X
X
X
X
X
X
Executive Pharmacy
4300 N University Drive Suite E200
Sunrise
FL
954-368-0901
800-918-4152
X
X
Family Pharmacy
3644 Webber Street
Sarasota
FL
941-921-6645
941-923-7558
X
X
X
X
X
X
X
Family Pharmacy
2653 Bruce B Downs Blvd Suite 115
Wesley Chapel
FL
813-991-9500
813-991-9600
X
X
X
X
X
X
X
Farma Pharmacy
5240 San Fernando Road
Glendale
CA
(844) 849-3690 (818) 638-3136
X
Foothills Professional Pharmacy
4545 E. Chandler #100
Phoenix
AZ
480-496-4444
480-496-4450
X
Foundation Care, LLC
4010 Wedgeway Court
Earth City
MO
314-291-1122
314-291-1133
X
Fusion Rx Compounding Pharmacy
2001 Westwood Blvd. Suite A
Los Angeles
CA
(310) 204-6676 (310) 204-6678
X
X
X
Haldey Pharmaceutical Compounding
2510 Westchester Ave Suite 207
Bronx
NY
855-426-6768
855-326-6768
X
X
X
Health Dimensions, Inc
39303 Country Club Drive A26
Farmington Hills
MI
800-836-2303
248-489-1586
X
X
X
X
Heritage Compounding Pharmacy
11 Midtown Park East
Mobile
AL
251-472-0814
251-472-0864
X
X
X
X
Highland Pharmacy
717 Encino Place NE Suite 1
Albuquerque
NM
505-243-3777
505-242-3216
X
X
X
X
Hill Country Apothecary
1310 RR 620 S. Suite A-1
Lakeway
TX
512-351-9139
512-366-5573
X
X
X
X
Hopewell Pharmacy
Hopewell
Tampa
NJ
FL
609-466-1960
813-839-8861
609-466-8222
813-839-8941
X
X
X
Hoye's Pharmacy
1 West Borad Street
4330 South Manhattan Avenue
X
X
X
Imprimis Rx
780 Primos Ave Unit E
Folcroft
PA
(888) 824-8100 (866) 302-7625
Infinity Compounding Solutions
1204 SE 28th Street Suite 2
Bentonville
AR
888-414-5805
855-422-2400
X
X
X
Innovation Compounding Inc
6095 Pine Mountain Road NW suite 108
Kennesaw
GA
770-421-1399
770-426-1965
X
X
X
Inverness Apothecary Trinity
Trinity
Murphy
AL
TX
256-260-3350
972-535-2020
256-260-3351
855-385-9990
X
X
X
X
Inverness Lone Star Pharmacy
24333 Gordon Terry Parkway Suite B
223 E. FM 544 Suite 806
X
X
X
X
ITC Compounding & Natural Wellness Pharmacy
651 Topeka Way Ste 600
Castle Rock
CO
303-663-4224
303-663-4263
X
X
X
X
Return to Instructions
TOP
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* Return to Menu
Please Note: You may not see a pharmacy near you (or even in your state of residence) listed, however the
NCCP pharmacies listed for each state are licensed to dispense and ship compound medications to that state.
Not all NCCP pharmacies participate in all networks.
Please verify the compound credentialed pharmacy participates in your Plan’s network.
10-24-2016
FLORIDA (FL) – Continued
Pharmacy Name
Address
City
State Phone
Fax
Jersey Shore Pharmacy
580 N Main Street
Barnegat
NJ
609-660-1111
609-660-0101
X
X
X
X
Johnson Compounding & Wellness
577 Main Street
Waltham
MA
781-893-3870
781-899-1172
X
X
X
X
Keystone Pharmacy, LLC
118 Weisenberger #400
Madison
MS
855-739-9948
855-221-0918
X
X
X
X
Lake Side Pharmacy
10005 AL Hwy 9 N
Cedar Bluff
AL
256-422-5010
866-609-4582
X
Lee Silsby Compounding Pharmacy
3216 Silsby Rd
Cleveland Heights
OH
216-321-4300
216-321-4303
X
X
Magnolia Specialty Pharmacy
163 Turtle Creek Drive Suite 130
Hattiesburg
MS
877-871-3935
888-990-0575
X
X
X
MasterPharm
115-02 Liberty Avenue
Richmond Hill
NY
718-529-5500
718-529-2780
X
X
X
MD Compounding Pharmacy
721 Boardman-Canfield Rd
Boardman
OH
330-726-6337
855-301-8645
X
X
X
Medaus Pharmacy
6801 Cahaba Valley Rd Suite 116
Birmingham
AL
(205) 981-2352 (205) 981-2767
X
X
X
Medical Center Pharmacy
912 S. 16th Street
Wilmington
NC
910-763-1896
910-763-1709
X
X
X
Medscript Pharmacy
14400 John Humphery Drive Ste 110
Orland Park
IL
708-460-4930
708-460-4932
X
Millers Compounding Pharmacy
678 Wyckoff Avenue
Wyckoff
NJ
888-891-3334
866-891-3334
X
X
National Specialty Pharmacy LLC
2970 St. Rose Parkway #120
Henderson
NV
(702) 832-3320 (702) 425-9704
X
Park Compounding
9257 Research Dr
Irvine
CA
949-551-7195
949-551-1950
X
Partell Specialty Pharmacy East
5835 S Eastern Ave Suite 101
Las Vegas
NV
702-791-3800
702-791-3630
X
Partell Specialty Pharmacy West
8751 W Charleston Blvd Suite 120
Las Vegas
NV
702-685-3800
702-685-3636
X
Patient Care America
5371 Hiatus Road
Sunrise
FL
954-473-4717
954-473-9519
X
Pentec Health, Inc.
4 Creek Parkway
Boothwyn
PA
800-223-4376
610-494-7328
X
PerforMix Specialty Pharmacy
25 Pelham Rd
Salem
NH
603-870-9618
603-870-9621
X
Pharmacy Creations
540 Route 10 West
Randolph
NJ
973-328-8756
973-328-8731
X
Pharmacy Innovations
2936 W. 17th ST
Erie
PA
814-838-2102
814-838-2103
X
X
Pharmacy Innovations
4000 Park St
St. Petersburg
FL
727-381-0700
727-347-2050
X
X
Pharmacy Link
3648 Vann Road Building II Suite 116
Birmingham
AL
866-332-6966
866-374-4761
X
X
Pharmacy Solutions
Ann Arbor
Altamonte Springs
MI
FL
(734) 821-8000 (734) 821-8001
407-260-7002 407-260-7044
X
X
X
Pharmacy Specialists
5204 Jackson Road Suite C
393 Maitland Ave
X
X
X
X
Phusion Pharmacy
17 Coventry Shoppers Park
Coventry
RI
401-823-0000
X
X
X
X
Pinnacle Compounding
1120 Kensington Ave. Ste. E
Missoula
MT
(406) 541-6121 (406) 541-6267
X
X
PrecisionRx
405 Waymont ct #101
Lake Mary
FL
(407) 322-2440 (407) 322-2470
X
X
Premier Custom Pharmacy
2000 PGA Blvd. Ste. 5507
Palm Beach Gardens FL
561-691-4998
561-691-4998
X
X
Premier Pharmacy Inc.
109 Jack White Dr
Kingsport
TN
423-245-1022
423-245-6391
X
X
Procare Pharmacy
1084 Lee Rd, Suite 4
Orlando
FL
(407) 730-2770 (407) 730-2764
X
X
X
X
Professional Arts Pharmacy
128 Curran Lane
Lafayette
LA
337-991-0101
337-991-0151
X
X
X
X
Professional Compounding Pharmacists
111 2nd Street Suite 100
Leechburg
PA
877-883-9300
877-883-9301
X
X
X
X
PROMED PHARMACY
537 East Meadow Ave
East Meadow
NY
516-307-9200
516-307-9191
X
X
X
X
Pyramids Pharmacy
1201 Dairy Ashford Road Suite 114
Houston
TX
281-589-2400
281-589-2405
X
X
X
X
ReadyScrip Advanced Pharma
201 Route 17 North, 11th floor
Rutherford
NJ
(201) 549-8895 (201) 549-8878
X
X
X
X
X
X
Redi Pharmacy
250 West Route 59 Suite 5
Nanuet
NY
(845) 507-0630 (845) 507-0631
X
X
X
X
X
X
RepublicRx Specialty Pharmacy
1862 W. Bitters Rd Ste. 100
San Antonio
TX
210-718-0300
210-255-1461
X
X
X
X
X
Riverpoint Pharmacy
528 E Spokane Fall Blvd #110
Spokane
WA
509-343-6252
509-343-6251
X
X
X
Rock Valley Compounding Pharmacy
811 S. Perryville Rd Unit 109
Rockford
IL
(779) 423-0542 (815) 977-3077
X
X
X
X
RoxSan Pharmacy
465 N. Roxbury Dr. Ground Floor
Beverly Hills
CA
(310) 273-1644 (310) 276-4152
X
X
X
X
X
X
X
Rx3 Compounding Pharmacy
Chester
Jacksonville
VA
FL
804-717-5000
904-361-3861
804-717-8300
904-361-3866
X
X
X
X
X
X
X
Smart Pharmacy
12230 Ironbridge Rd Suite C
3740 St. Johns Bluff Road #19
X
X
X
X
X
Smart Pharmacy
14003 Beach Blvd
Jacksonville
FL
904-503-5030
904-361-3866
X
X
X
X
X
Sobe Compounding Apothecary
13150 SW 134 St
Miami
FL
305-969-5410
305-969-5453
X
X
X
Specialty Chemist Corp.
65-60 Fresh Meadow Lane
Fresh Meadows
NY
(718) 353-2595 (718) 886-8658
X
X
St. Louis Hills Pharmacy
4365 Chippewa St Suite 100
St. Louis
MO
(314) 832-2480 (314) 832-2498
X
X
X
Sugar Land Compounding Pharmacy
Sugar Land
Birmingham
TX
AL
(281) 302-6080 (281) 302-8259
205-870-3150 855-862-0446
X
X
X
X
The Compounding Shoppe
14823 Southwest Freeway, Suite B
3349 Independence Drive Suite 102
X
X
X
X
Topical Solutions Pharmacy
20612 N. Cave Creek Rd. #150
Phoenix
AZ
(480) 351-8278 (480) 351-8277
X
TPS
3524 Decatur Highway Suite 302
Fultondale
AL
205-608-4995
205-608-2718
X
Transdermal Therapeutics, Inc.
211 Summit Pkwy Suite 124
Homewood
AL
877-581-5445
877-495-5445
X
Trinity Medical Pharmacy
9332 State Road 54 Suite 203
New Port Richey
FL
727-495-6979
727-213-6979
X
X
X
X
V.L.S. Pharmacy, Inc.
4402 5th Avenue
Brooklyn
NY
(718) 854-1384 (718) 854-4313
X
X
X
X
Vasco Rx Specialty Pharmacy
4045 E Bell Rd Suite 163
Phoenix
AZ
(602) 971-6950 (602) 404-2504
X
X
X
Vital Care of Meridian
1501 23rd Ave
Meridian
MS
800-652-6157
X
X
Westchase Compounding Pharmacy
12617 Race Track Road
Tampa
FL
813-925-8200
X
Woodland Hills Pharmacy
20361 Ventura Blvd ste 305
Woodland Hills
CA
(855) 876-3060 (866) 893-9320
Xpress Compounding
1000 W. Weatherford St Suite 120
Fort Worth
TX
844-977-3770
Return to Instructions
401-823-0300
813-925-8933
817-887-5545
TOP
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* Return to Menu
Please Note: You may not see a pharmacy near you (or even in your state of residence) listed, however the
NCCP pharmacies listed for each state are licensed to dispense and ship compound medications to that state.
Not all NCCP pharmacies participate in all networks.
Please verify the compound credentialed pharmacy participates in your Plan’s network.
10-24-2016
GEORGIA (GA)
Pharmacy Name
Address
City
State Phone
Fax
Advanced Infusion Solutions
623 Highland Colony Parkway Suite 100
Ridgeland
MS
877-443-4006
888-298-2220
TOP
HRT PED NAS STR SUP PTD
Allcare Pharmacy and Healthcare Services
112 S. Oxley Drive
Lyons
GA
912-526-3200
912-526-5960
X
X
X
America's Best Care Plus, Inc
1825 Everett Drive W.
Fort Payne
AL
800-638-6305
800-638-0294
X
X
X
Anderson Compounding Pharmacy
310 Bluff City Highway
Bristol
TN
423-764-4136
423-764-5167
X
X
X
Assured Rx
13555 Automobile Blvd Suite 230
Clearwater
FL
727-451-6815
888-209-4962
X
Athena Pharmacy
2025 N. Mt. Julliet Rd. Suite 100
Mt Juliet
TN
615-288-4037
615-288-4061
X
X
Auxilium Specialty Apothecary Pharmacy
16 Keystone Drive Suite B
Hattiesburg
MS
877-847-4612
888-615-6578
X
X
Avella of Deer Valley, Inc.
23620 N 20th Drive Suite 12
Phoenix
AZ
877-792-7684
866-792-7684
X
X
X
Boothwyn Pharmacy
2341 Chichester Ave
Boothwyn
PA
610-485-1130
610-485-9223
X
X
X
Central Avenue Pharmacy, Inc
133 Fifteenth Street
Pacific Grove
CA
831-373-1225
831-373-3705
X
X
X
X
Central Rexall Drugs, Inc
125 E. Thomas Street
Hammond
LA
985-345-5120
985-345-5178
X
X
X
X
Century Pharmacy LLC
37 W. Century Rd Suite 113
Paramus
NJ
201-261-6479
201-261-9479
X
Chemistry Rx
829 Spruce Street Suite 100
Philadelphia
PA
855-790-0100
267-861-0862
X
X
X
Compound Care Plus Pharmacy
1410 Highway 98 Unit G
Daphne
AL
866-832-2263
866-832-2264
X
X
X
Compound Pharmaceutical Technologies
1048 Stanton Road Suite B
Daphne
AL
251-626-2820
251-626-2850
X
X
X
Compounding Docs Inc
5499 N Federal Hwy Suite G
Boca Raton
FL
561-826-0711
561-826-0717
X
X
X
X
Comprehensive Wellness Pharmacy
2269 Wilma Rudolph Blvd. Suite 103
Clarksville
TN
(855) 806-6042
Conversio Health
720 Aerovista Place Suite D
San Luis Obispo
CA
(866) 239-3784 (800) 977-9255
X
X
Curexa
3007 Ocean Heights Ave
Egg Harbor Township NJ
609-927-0390
609-927-0392
X
X
X
X
Custom Pharmacy Solutions
Birmingham
Wichita
AL
KS
866-988-3383
316-721-2626
866-988-3553
316-721-4823
X
X
X
X
Custom Rx Pharmacy & Wellness Concepts
2637 Valleydale Rd.
3510 N Ridge Road Suite 900
X
X
X
DermaTran Health Solutions
85 Technology Pkwy NW
Rome
GA
855-675-5240
844-265-1995
X
Essential Pharmacy Compounding
620 N 114 Street
Omaha
NE
402-408-0015
402-408-0020
X
X
Everwell Specialty Pharmacy
825 E. Burgess Road
Pensacola
FL
850-473-9190
850-473-9935
X
Family Pharmacy
3644 Webber Street
Sarasota
FL
941-921-6645
941-923-7558
Family Pharmacy
2653 Bruce B Downs Blvd Suite 115
Wesley Chapel
FL
813-991-9500
Foothills Professional Pharmacy
4545 E. Chandler #100
Phoenix
AZ
Foundation Care, LLC
4010 Wedgeway Court
Earth City
Fusion Rx Compounding Pharmacy
2001 Westwood Blvd. Suite A
Heritage Compounding Pharmacy
Hoye's Pharmacy
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
813-991-9600
X
X
X
X
X
X
X
480-496-4444
480-496-4450
X
X
MO
314-291-1122
314-291-1133
X
Los Angeles
CA
(310) 204-6676 (310) 204-6678
X
X
X
X
11 Midtown Park East
4330 South Manhattan Avenue
Mobile
Tampa
AL
FL
251-472-0814
813-839-8861
X
X
X
X
X
X
X
X
Imprimis Rx
780 Primos Ave Unit E
Folcroft
PA
(888) 824-8100 (866) 302-7625
Infinity Compounding Solutions
1204 SE 28th Street Suite 2
Bentonville
AR
888-414-5805
855-422-2400
X
X
X
Innovation Compounding Inc
6095 Pine Mountain Road NW suite 108
Kennesaw
GA
770-421-1399
770-426-1965
X
X
X
Inverness Apothecary Trinity
Trinity
Murphy
AL
TX
256-260-3350
972-535-2020
256-260-3351
855-385-9990
X
X
X
X
Inverness Lone Star Pharmacy
24333 Gordon Terry Parkway Suite B
223 E. FM 544 Suite 806
X
X
X
X
ITC Compounding & Natural Wellness Pharmacy
651 Topeka Way Ste 600
Castle Rock
CO
303-663-4224
303-663-4263
X
X
X
X
Keystone Pharmacy, LLC
118 Weisenberger #400
Madison
MS
855-739-9948
855-221-0918
X
X
X
X
Lake Side Pharmacy
10005 AL Hwy 9 N
Cedar Bluff
AL
256-422-5010
866-609-4582
X
Lee Silsby Compounding Pharmacy
3216 Silsby Rd
Cleveland Heights
OH
216-321-4300
216-321-4303
X
X
Magnolia Specialty Pharmacy
163 Turtle Creek Drive Suite 130
Hattiesburg
MS
877-871-3935
888-990-0575
X
X
X
MasterPharm
115-02 Liberty Avenue
Richmond Hill
NY
718-529-5500
718-529-2780
X
X
X
Medaus Pharmacy
6801 Cahaba Valley Rd Suite 116
Birmingham
AL
(205) 981-2352 (205) 981-2767
X
X
X
Medical Center Pharmacy
912 S. 16th Street
Wilmington
NC
910-763-1896
910-763-1709
X
X
X
X
X
Millers Compounding Pharmacy
678 Wyckoff Avenue
Wyckoff
NJ
888-891-3334
866-891-3334
X
X
X
X
X
National Specialty Pharmacy LLC
2970 St. Rose Parkway #120
Henderson
NV
(702) 832-3320 (702) 425-9704
Return to Instructions
251-472-0864
813-839-8941
X
X
X
X
X
X
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X
X
X
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X
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X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
* Return to Menu
Please Note: You may not see a pharmacy near you (or even in your state of residence) listed, however the
NCCP pharmacies listed for each state are licensed to dispense and ship compound medications to that state.
Not all NCCP pharmacies participate in all networks.
Please verify the compound credentialed pharmacy participates in your Plan’s network.
10-24-2016
GEORGIA (GA) – Continued
Pharmacy Name
Address
City
State Phone
Fax
Park Compounding
9257 Research Dr
Irvine
CA
949-551-7195
949-551-1950
X
X
X
X
Partell Specialty Pharmacy West
8751 W Charleston Blvd Suite 120
Las Vegas
NV
702-685-3800
702-685-3636
X
X
X
X
Patient Care America
5371 Hiatus Road
Sunrise
FL
954-473-4717
954-473-9519
X
X
Pentec Health, Inc.
4 Creek Parkway
Boothwyn
PA
800-223-4376
610-494-7328
X
X
Pharmacy Creations
540 Route 10 West
Randolph
NJ
973-328-8756
973-328-8731
X
Pharmacy Link
3648 Vann Road Building II Suite 116
Birmingham
AL
866-332-6966
866-374-4761
X
X
Pharmacy Solutions
5204 Jackson Road Suite C
Ann Arbor
MI
(734) 821-8000 (734) 821-8001
X
X
X
Phusion Pharmacy
17 Coventry Shoppers Park
Coventry
RI
401-823-0000
X
X
X
Pinnacle Compounding
1120 Kensington Ave. Ste. E
Missoula
MT
(406) 541-6121 (406) 541-6267
X
X
Premier Custom Pharmacy
2000 PGA Blvd. Ste. 5507
Palm Beach Gardens FL
561-691-4998
561-691-4998
X
X
Premier Pharmacy Inc.
109 Jack White Dr
Kingsport
TN
423-245-1022
423-245-6391
X
X
RepublicRx Specialty Pharmacy
1862 W. Bitters Rd Ste. 100
San Antonio
TX
210-718-0300
210-255-1461
X
X
X
X
Rx3 Compounding Pharmacy
12230 Ironbridge Rd Suite C
3740 St. Johns Bluff Road #19
Chester
Jacksonville
VA
FL
804-717-5000
904-361-3861
804-717-8300
904-361-3866
X
X
X
X
X
X
Smart Pharmacy
X
X
X
X
X
Smart Pharmacy
14003 Beach Blvd
Jacksonville
FL
904-503-5030
904-361-3866
X
X
X
X
X
Sobe Compounding Apothecary
Miami
Birmingham
FL
AL
305-969-5410
205-870-3150
305-969-5453
855-862-0446
X
X
X
X
The Compounding Shoppe
13150 SW 134 St
3349 Independence Drive Suite 102
X
X
X
X
Topical Solutions Pharmacy
20612 N. Cave Creek Rd. #150
Phoenix
AZ
(480) 351-8278 (480) 351-8277
X
TPS
3524 Decatur Highway Suite 302
Fultondale
AL
205-608-4995
205-608-2718
X
Transdermal Therapeutics, Inc.
211 Summit Pkwy Suite 124
Homewood
AL
877-581-5445
877-495-5445
X
Trinity Medical Pharmacy
9332 State Road 54 Suite 203
New Port Richey
FL
727-495-6979
727-213-6979
X
X
X
X
Vasco Rx Specialty Pharmacy
4045 E Bell Rd Suite 163
Phoenix
AZ
(602) 971-6950 (602) 404-2504
X
X
X
X
Woodland Hills Pharmacy
20361 Ventura Blvd ste 305
Woodland Hills
CA
(855) 876-3060 (866) 893-9320
X
X
X
X
Xpress Compounding
1000 W. Weatherford St Suite 120
Fort Worth
TX
844-977-3770
X
X
Return to Instructions
401-823-0300
817-887-5545
TOP
HRT PED NAS STR SUP PTD
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
* Return to Menu
Please Note: You may not see a pharmacy near you (or even in your state of residence) listed, however the
NCCP pharmacies listed for each state are licensed to dispense and ship compound medications to that state.
Not all NCCP pharmacies participate in all networks.
Please verify the compound credentialed pharmacy participates in your Plan’s network.
10-24-2016
HAWAII (HI)
Pharmacy Name
Address
City
State
Phone
Fax
Advanced Infusion Solutions
623 Highland Colony Parkway Suite 100
Ridgeland
MS
877-443-4006
888-298-2220
TOP
HRT PED NAS STR SUP PTD
America's Best Care Plus, Inc
1825 Everett Drive W.
Fort Payne
AL
800-638-6305
800-638-0294
X
X
X
Anderson Compounding Pharmacy
310 Bluff City Highway
Bristol
TN
423-764-4136
423-764-5167
X
X
X
X
Athena Pharmacy
2025 N. Mt. Julliet Rd. Suite 100
Mt Juliet
TN
615-288-4037
615-288-4061
X
X
X
X
Avella of Deer Valley, Inc.
23620 N 20th Drive Suite 12
Phoenix
AZ
877-792-7684
866-792-7684
X
X
X
X
Broadway Apothecary
1515 Oak Street
Eugene
OR
541-684-9352
541-684-0858
X
X
X
X
Central Avenue Pharmacy, Inc
133 Fifteenth Street
Pacific Grove
CA
831-373-1225
831-373-3705
X
X
X
X
Central Rexall Drugs, Inc
125 E. Thomas Street
Hammond
LA
985-345-5120
985-345-5178
X
X
X
X
Compound Care Plus Pharmacy
1410 Highway 98 Unit G
Daphne
AL
866-832-2263
866-832-2264
X
X
X
Conversio Health
720 Aerovista Place Suite D
San Luis Obispo
CA
(866) 239-3784 (800) 977-9255
Custom Meds, Inc.
102 E Highland Blvd
Inverness
FL
352-341-1212
352-341-2626
X
X
DermaTran Health Solutions
2700 Stanley Gault Pkwy, Ste 103
Louisville
KY
855-675-5240
844-265-1995
X
DermaTran Health Solutions
85 Technology Pkwy NW
Rome
GA
855-675-5240
844-265-1995
X
Essential Pharmacy Compounding
620 N 114 Street
Omaha
NE
402-408-0015
402-408-0020
X
Farma Pharmacy
5240 San Fernando Road
Glendale
CA
(844) 849-3690 (818) 638-3136
X
Foothills Professional Pharmacy
4545 E. Chandler #100
Phoenix
AZ
480-496-4444
480-496-4450
X
Foundation Care, LLC
4010 Wedgeway Court
Earth City
MO
314-291-1122
314-291-1133
X
Fusion Rx Compounding Pharmacy
Fusion Specialty Pharmacy
2001 Westwood Blvd. Suite A
1100 Canyon View Drive Suite C
Los Angeles
Santa Clara
CA
UT
(310) 204-6676 (310) 204-6678
435-703-9680 435-703-9681
Imprimis Rx
780 Primos Ave Unit E
Folcroft
PA
(888) 824-8100 (866) 302-7625
Infinity Compounding Solutions
1204 SE 28th Street Suite 2
Bentonville
AR
888-414-5805
855-422-2400
X
X
X
X
Inverness Apothecary Trinity
24333 Gordon Terry Parkway Suite B
Trinity
AL
256-260-3350
256-260-3351
X
X
X
X
ITC Compounding & Natural Wellness Pharmacy
651 Topeka Way Ste 600
Castle Rock
CO
303-663-4224
303-663-4263
X
X
X
X
Lee Silsby Compounding Pharmacy
3216 Silsby Rd
Cleveland Heights OH
216-321-4300
216-321-4303
X
X
X
Magnolia Specialty Pharmacy
163 Turtle Creek Drive Suite 130
Hattiesburg
MS
877-871-3935
888-990-0575
X
X
Medaus Pharmacy
6801 Cahaba Valley Rd Suite 116
Birmingham
AL
(205) 981-2352 (205) 981-2767
X
X
X
Millers Compounding Pharmacy
678 Wyckoff Avenue
Wyckoff
NJ
888-891-3334
866-891-3334
X
X
X
X
X
X
X
Park Compounding
9257 Research Dr
Irvine
CA
949-551-7195
949-551-1950
X
X
X
X
X
X
X
Partell Specialty Pharmacy East
5835 S Eastern Ave Suite 101
Las Vegas
NV
702-791-3800
702-791-3630
X
X
X
X
X
X
X
Pentec Health, Inc.
4 Creek Parkway
Boothwyn
PA
800-223-4376
610-494-7328
Pharmacy Creations
540 Route 10 West
Randolph
NJ
973-328-8756
973-328-8731
X
Pharmacy Innovations
2936 W. 17th ST
Erie
PA
814-838-2102
814-838-2103
X
Pharmacy Solutions
5204 Jackson Road Suite C
Ann Arbor
MI
(734) 821-8000 (734) 821-8001
X
Phusion Pharmacy
17 Coventry Shoppers Park
Coventry
RI
401-823-0000
Pinnacle Compounding
Smart Pharmacy
1120 Kensington Ave. Ste. E
3740 St. Johns Bluff Road #19
Missoula
Jacksonville
MT
FL
Sobe Compounding Apothecary
13150 SW 134 St
Miami
The Honolulu Pharmacy
1188 Bishop St #2303
Topical Solutions Pharmacy
20612 N. Cave Creek Rd. #150
Vasco Rx Specialty Pharmacy
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
(406) 541-6121 (406) 541-6267
904-361-3861 904-361-3866
X
X
X
X
X
FL
305-969-5410
305-969-5453
X
X
X
Honolulu
HI
808-533-8887
808-533-1888
X
X
Phoenix
AZ
(480) 351-8278 (480) 351-8277
X
4045 E Bell Rd Suite 163
Phoenix
AZ
(602) 971-6950 (602) 404-2504
X
X
X
X
X
X
X
Westchase Compounding Pharmacy
12617 Race Track Road
Tampa
FL
813-925-8200
X
X
X
X
X
X
X
Woodland Hills Pharmacy
20361 Ventura Blvd ste 305
Woodland Hills
CA
(855) 876-3060 (866) 893-9320
X
X
X
X
Xpress Compounding
1000 W. Weatherford St Suite 120
Fort Worth
TX
844-977-3770
X
X
X
X
Return to Instructions
401-823-0300
813-925-8933
817-887-5545
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
* Return to Menu
Please Note: You may not see a pharmacy near you (or even in your state of residence) listed, however the
NCCP pharmacies listed for each state are licensed to dispense and ship compound medications to that state.
Not all NCCP pharmacies participate in all networks.
Please verify the compound credentialed pharmacy participates in your Plan’s network.
10-24-2016
IDAHO (ID)
Pharmacy Name
Address
City
State Phone
Fax
Advanced Infusion Solutions
623 Highland Colony Parkway Suite 100
Ridgeland
MS
877-443-4006
888-298-2220
America's Best Care Plus, Inc
1825 Everett Drive W.
Fort Payne
AL
800-638-6305
800-638-0294
X
X
X
Anderson Compounding Pharmacy
310 Bluff City Highway
Bristol
TN
423-764-4136
423-764-5167
X
X
X
Assured Rx
13555 Automobile Blvd Suite 230
Clearwater
FL
727-451-6815
888-209-4962
X
Athena Pharmacy
2025 N. Mt. Julliet Rd. Suite 100
Mt Juliet
TN
615-288-4037
615-288-4061
X
X
X
X
Avella of Deer Valley, Inc.
23620 N 20th Drive Suite 12
Phoenix
AZ
877-792-7684
866-792-7684
X
X
X
X
X
X
Cascade Specialty Pharmacy
325 NE Hostmark St
Poulsbo
WA
(360) 779-2737 (360) 779-4905
X
X
X
X
X
X
Central Avenue Pharmacy, Inc
133 Fifteenth Street
Pacific Grove
CA
831-373-1225
831-373-3705
X
X
X
X
Central Rexall Drugs, Inc
125 E. Thomas Street
Hammond
LA
985-345-5120
985-345-5178
X
X
X
X
Conversio Health
720 Aerovista Place Suite D
San Luis Obispo
CA
(866) 239-3784 (800) 977-9255
Custom Pharmacy Solutions
2637 Valleydale Rd.
Birmingham
AL
866-988-3383
866-988-3553
X
DermaTran Health Solutions
2700 Stanley Gault Pkwy, Ste 103
Louisville
KY
855-675-5240
844-265-1995
X
DermaTran Health Solutions
85 Technology Pkwy NW
Rome
GA
855-675-5240
844-265-1995
X
Essential Pharmacy Compounding
620 N 114 Street
Omaha
NE
402-408-0015
402-408-0020
X
X
Foothills Professional Pharmacy
4545 E. Chandler #100
Phoenix
AZ
480-496-4444
480-496-4450
X
X
Foundation Care, LLC
4010 Wedgeway Court
Earth City
MO
314-291-1122
314-291-1133
X
Fusion Rx Compounding Pharmacy
Los Angeles
Santa Clara
CA
UT
(310) 204-6676 (310) 204-6678
435-703-9680 435-703-9681
X
X
X
X
Fusion Specialty Pharmacy
2001 Westwood Blvd. Suite A
1100 Canyon View Drive Suite C
X
X
X
X
Hoye's Pharmacy
4330 South Manhattan Avenue
Tampa
FL
813-839-8861
X
X
X
X
Imprimis Rx
780 Primos Ave Unit E
Folcroft
PA
(888) 824-8100 (866) 302-7625
Infinity Compounding Solutions
1204 SE 28th Street Suite 2
Bentonville
AR
888-414-5805
855-422-2400
X
X
X
X
Inverness Apothecary Trinity
24333 Gordon Terry Parkway Suite B
Trinity
AL
256-260-3350
256-260-3351
X
X
X
X
ITC Compounding & Natural Wellness Pharmacy
651 Topeka Way Ste 600
Castle Rock
CO
303-663-4224
303-663-4263
X
X
X
X
La Vita Compounding Pharmacy
3978 Sorrento Valley Blvd #300
San Diego
CA
858-453-2500
858-453-2501
X
X
X
X
X
X
Ladd Family Pharmacy
1109 S. Broadway Ave
Boise
ID
208-947-0877
208-947-0874
X
X
X
X
X
X
X
Lake Side Pharmacy
10005 AL Hwy 9 N
Cedar Bluff
AL
256-422-5010
866-609-4582
X
X
X
Lee Silsby Compounding Pharmacy
3216 Silsby Rd
Cleveland Heights OH
216-321-4300
216-321-4303
X
X
X
X
Magnolia Specialty Pharmacy
163 Turtle Creek Drive Suite 130
Hattiesburg
MS
877-871-3935
888-990-0575
X
X
X
X
X
MasterPharm
115-02 Liberty Avenue
Richmond Hill
NY
718-529-5500
718-529-2780
X
X
X
X
Medscript Pharmacy
14400 John Humphery Drive Ste 110
Orland Park
IL
708-460-4930
708-460-4932
X
Millers Compounding Pharmacy
678 Wyckoff Avenue
Wyckoff
NJ
888-891-3334
866-891-3334
X
X
X
National Specialty Pharmacy LLC
2970 St. Rose Parkway #120
Henderson
NV
(702) 832-3320 (702) 425-9704
Patient Care America
5371 Hiatus Road
Sunrise
FL
954-473-4717
954-473-9519
X
X
Pentec Health, Inc.
4 Creek Parkway
Boothwyn
PA
800-223-4376
610-494-7328
X
X
Pharmacy Creations
540 Route 10 West
Randolph
NJ
973-328-8756
973-328-8731
X
Pharmacy Innovations
2936 W. 17th ST
Erie
PA
814-838-2102
814-838-2103
X
Pharmacy Solutions
5204 Jackson Road Suite C
Ann Arbor
MI
(734) 821-8000 (734) 821-8001
X
Pinnacle Compounding
1120 Kensington Ave. Ste. E
Missoula
MT
(406) 541-6121 (406) 541-6267
X
X
RepublicRx Specialty Pharmacy
1862 W. Bitters Rd Ste. 100
San Antonio
TX
210-718-0300
210-255-1461
X
X
X
Riverpoint Pharmacy
528 E Spokane Fall Blvd #110
Spokane
WA
509-343-6252
509-343-6251
X
X
X
RoxSan Pharmacy
465 N. Roxbury Dr. Ground Floor
3740 St. Johns Bluff Road #19
Beverly Hills
Jacksonville
CA
FL
(310) 273-1644 (310) 276-4152
904-361-3861 904-361-3866
X
X
X
Smart Pharmacy
X
X
X
Sobe Compounding Apothecary
13150 SW 134 St
Miami
FL
305-969-5410
X
X
X
X
X
Specialty Chemist Corp.
65-60 Fresh Meadow Lane
Fresh Meadows
NY
(718) 353-2595 (718) 886-8658
X
X
Vasco Rx Specialty Pharmacy
4045 E Bell Rd Suite 163
Phoenix
AZ
(602) 971-6950 (602) 404-2504
X
X
X
X
X
Woodland Hills Pharmacy
20361 Ventura Blvd ste 305
Woodland Hills
CA
(855) 876-3060 (866) 893-9320
X
X
X
X
Return to Instructions
813-839-8941
305-969-5453
TOP
HRT PED NAS STR SUP PTD
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
* Return to Menu
Please Note: You may not see a pharmacy near you (or even in your state of residence) listed, however the
NCCP pharmacies listed for each state are licensed to dispense and ship compound medications to that state.
Not all NCCP pharmacies participate in all networks.
Please verify the compound credentialed pharmacy participates in your Plan’s network.
10-24-2016
ILLINOIS (IL)
Pharmacy Name
Address
City
State Phone
Access Compounding Pharmacy
1450 Emerson Ave. #110
McLean
VA
(571) 488-6620 (571) 488-6621
Advanced Infusion Solutions
623 Highland Colony Parkway Suite 100
Ridgeland
MS
877-443-4006
888-298-2220
America's Best Care Plus, Inc
1825 Everett Drive W.
Fort Payne
AL
800-638-6305
800-638-0294
X
X
X
America's Compounding Center
153 California St.
Newton
MA
617-527-1563
617-527-1565
X
X
X
Anderson Compounding Pharmacy
310 Bluff City Highway
Bristol
TN
423-764-4136
423-764-5167
X
X
X
Ashland Health
12 N. Catherine Ave
La Grange
IL
708-482-4000
708-482-4004
X
Assured Rx
13555 Automobile Blvd Suite 230
Clearwater
FL
727-451-6815
888-209-4962
X
Athena Pharmacy
2025 N. Mt. Julliet Rd. Suite 100
Mt Juliet
TN
615-288-4037
615-288-4061
X
X
Auxilium Specialty Apothecary Pharmacy
16 Keystone Drive Suite B
Hattiesburg
MS
877-847-4612
888-615-6578
X
X
Avella of Deer Valley, Inc.
23620 N 20th Drive Suite 12
Phoenix
AZ
877-792-7684
866-792-7684
X
X
X
X
BioMed Specialty Pharmacy
7731 Cox Lane
West Chester
OH
513-847-1260
513-847-1506
X
X
X
X
Boothwyn Pharmacy
2341 Chichester Ave
Boothwyn
PA
610-485-1130
610-485-9223
X
X
X
Central Avenue Pharmacy, Inc
133 Fifteenth Street
Pacific Grove
CA
831-373-1225
831-373-3705
X
X
X
X
Central Rexall Drugs, Inc
125 E. Thomas Street
Hammond
LA
985-345-5120
985-345-5178
X
X
X
X
Century Pharmacy LLC
37 W. Century Rd Suite 113
Paramus
NJ
201-261-6479
201-261-9479
X
Chemistry Rx
829 Spruce Street Suite 100
Philadelphia
PA
855-790-0100
267-861-0862
X
X
X
Compound Care Plus Pharmacy
1410 Highway 98 Unit G
Daphne
AL
866-832-2263
866-832-2264
X
X
X
Compound Pharmaceutical Technologies
1048 Stanton Road Suite B
Daphne
AL
251-626-2820
251-626-2850
X
X
X
Compounding Docs Inc
5499 N Federal Hwy Suite G
Boca Raton
FL
561-826-0711
561-826-0717
X
X
X
X
Comprehensive Wellness Pharmacy
2269 Wilma Rudolph Blvd. Suite 103
Clarksville
TN
(855) 806-6042
Conversio Health
720 Aerovista Place Suite D
San Luis Obispo
CA
(866) 239-3784 (800) 977-9255
X
X
Curexa
3007 Ocean Heights Ave
Egg Harbor Township NJ
609-927-0390
609-927-0392
X
X
Custom Meds, Inc.
102 E Highland Blvd
Inverness
FL
352-341-1212
352-341-2626
X
X
Custom Pharmacy Solutions
Birmingham
Wichita
AL
KS
866-988-3383
316-721-2626
866-988-3553
316-721-4823
X
X
X
X
Custom Rx Pharmacy & Wellness Concepts
2637 Valleydale Rd.
3510 N Ridge Road Suite 900
X
X
X
X
DermaTran Health Solutions
2700 Stanley Gault Pkwy, Ste 103
Louisville
KY
855-675-5240
844-265-1995
X
DermaTran Health Solutions
85 Technology Pkwy NW
Rome
GA
855-675-5240
844-265-1995
X
Diabetes Corporation of America
4701 Trousdale Drive
Nashville
TN
877-730-5770
877-327-9174
X
X
X
Doug's Pharmacy
137 N. Market Street
Paxton
IL
X
X
Indianapolis
IN
217-379-6115
317-842-5953
X
7320 E 82nd Street
217-379-3684
317-842-5771
X
Dr. Aziz Pharmacy
X
X
X
X
Eastern States Compounding Pharmacy
338 Union Street
Littleton
NH
603-444-0094
603-444-0095
X
X
X
X
X
Eldon Drug Company
101 S. Maple Street
Eldon
MO
573-392-4588
573-392-4425
X
X
X
Essential Pharmacy Compounding
620 N 114 Street
Omaha
NE
402-408-0015
402-408-0020
X
X
X
X
X
Foothills Professional Pharmacy
4545 E. Chandler #100
Phoenix
AZ
480-496-4444
480-496-4450
X
X
Foundation Care, LLC
4010 Wedgeway Court
Earth City
MO
314-291-1122
314-291-1133
X
Fusion Rx Compounding Pharmacy
2001 Westwood Blvd. Suite A
Los Angeles
CA
(310) 204-6676 (310) 204-6678
X
X
X
X
Health Dimensions, Inc
39303 Country Club Drive A26
Farmington Hills
MI
800-836-2303
248-489-1586
X
X
X
X
Heritage Compounding Pharmacy
11 Midtown Park East
Mobile
AL
251-472-0814
251-472-0864
X
X
X
X
Hopewell Pharmacy
Hopewell
Tampa
NJ
FL
609-466-1960
813-839-8861
609-466-8222
813-839-8941
X
X
X
Hoye's Pharmacy
1 West Borad Street
4330 South Manhattan Avenue
X
X
X
Imprimis Rx
780 Primos Ave Unit E
Folcroft
PA
(888) 824-8100 (866) 302-7625
Infinity Compounding Solutions
1204 SE 28th Street Suite 2
Bentonville
AR
888-414-5805
855-422-2400
X
X
X
Innovation Compounding Inc
6095 Pine Mountain Road NW suite 108
Kennesaw
GA
770-421-1399
770-426-1965
X
X
X
Inverness Apothecary Trinity
24333 Gordon Terry Parkway Suite B
Trinity
AL
256-260-3350
256-260-3351
X
X
X
X
ITC Compounding & Natural Wellness Pharmacy
651 Topeka Way Ste 600
Castle Rock
CO
303-663-4224
303-663-4263
X
X
X
X
Lake Side Pharmacy
10005 AL Hwy 9 N
Cedar Bluff
AL
256-422-5010
866-609-4582
X
Lee Silsby Compounding Pharmacy
3216 Silsby Rd
Cleveland Heights
OH
216-321-4300
216-321-4303
X
X
X
Return to Instructions
Fax
TOP
HRT PED NAS STR SUP PTD
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
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X
X
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X
X
X
* Return to Menu
Please Note: You may not see a pharmacy near you (or even in your state of residence) listed, however the
NCCP pharmacies listed for each state are licensed to dispense and ship compound medications to that state.
Not all NCCP pharmacies participate in all networks.
Please verify the compound credentialed pharmacy participates in your Plan’s network.
10-24-2016
ILLINOIS (IL) – Continued
Pharmacy Name
Address
City
State Phone
Fax
Magnolia Specialty Pharmacy
163 Turtle Creek Drive Suite 130
Hattiesburg
MS
877-871-3935
888-990-0575
X
X
X
MasterPharm
115-02 Liberty Avenue
Richmond Hill
NY
718-529-5500
718-529-2780
X
X
X
Medaus Pharmacy
6801 Cahaba Valley Rd Suite 116
Birmingham
AL
(205) 981-2352 (205) 981-2767
X
X
X
Medscript Pharmacy
14400 John Humphery Drive Ste 110
Orland Park
IL
708-460-4930
708-460-4932
X
Millers Compounding Pharmacy
678 Wyckoff Avenue
Wyckoff
NJ
888-891-3334
866-891-3334
X
X
X
X
X
X
X
National Specialty Pharmacy LLC
2970 St. Rose Parkway #120
Henderson
NV
(702) 832-3320 (702) 425-9704
X
Partell Specialty Pharmacy East
5835 S Eastern Ave Suite 101
Las Vegas
NV
702-791-3800
702-791-3630
X
X
X
X
X
X
X
Partell Specialty Pharmacy West
8751 W Charleston Blvd Suite 120
Las Vegas
NV
702-685-3800
702-685-3636
X
X
X
X
X
X
Patient Care America
5371 Hiatus Road
Sunrise
FL
954-473-4717
954-473-9519
X
X
Pentec Health, Inc.
4 Creek Parkway
Boothwyn
PA
800-223-4376
610-494-7328
X
X
Pharmacy Creations
540 Route 10 West
Randolph
NJ
973-328-8756
973-328-8731
X
Pharmacy Innovations
2936 W. 17th ST
Erie
PA
814-838-2102
814-838-2103
X
X
Pharmacy Innovations
4000 Park St
St. Petersburg
FL
727-381-0700
727-347-2050
X
X
Pharmacy Link
3648 Vann Road Building II Suite 116
Birmingham
AL
866-332-6966
866-374-4761
X
X
Pharmacy Solutions
5204 Jackson Road Suite C
Ann Arbor
MI
(734) 821-8000 (734) 821-8001
X
X
X
Phusion Pharmacy
17 Coventry Shoppers Park
Coventry
RI
401-823-0000
X
X
X
Pinnacle Compounding
1120 Kensington Ave. Ste. E
Missoula
MT
(406) 541-6121 (406) 541-6267
X
X
Precision Compounding Pharmacy
2113 State Street
New Albany
IN
812-941-9300
812-941-9417
X
X
X
X
Professional Arts Pharmacy
128 Curran Lane
Lafayette
LA
337-991-0101
337-991-0151
X
X
X
X
ReadyScrip Advanced Pharma
201 Route 17 North, 11th floor
Rutherford
NJ
(201) 549-8895 (201) 549-8878
X
X
X
X
X
RepublicRx Specialty Pharmacy
1862 W. Bitters Rd Ste. 100
San Antonio
TX
210-718-0300
X
X
X
X
X
Rock Valley Compounding Pharmacy
811 S. Perryville Rd Unit 109
Rockford
IL
(779) 423-0542 (815) 977-3077
X
X
X
X
RoxSan Pharmacy
465 N. Roxbury Dr. Ground Floor
Beverly Hills
CA
(310) 273-1644 (310) 276-4152
X
X
X
X
X
X
X
Rx3 Compounding Pharmacy
Chester
Jacksonville
VA
FL
804-717-5000
904-361-3861
804-717-8300
904-361-3866
X
X
X
X
X
X
X
Smart Pharmacy
12230 Ironbridge Rd Suite C
3740 St. Johns Bluff Road #19
X
X
X
X
X
Sobe Compounding Apothecary
13150 SW 134 St
Miami
FL
305-969-5410
305-969-5453
X
X
X
Specialty Chemist Corp.
65-60 Fresh Meadow Lane
Fresh Meadows
NY
(718) 353-2595 (718) 886-8658
X
X
St. Louis Hills Pharmacy
4365 Chippewa St Suite 100
St. Louis
MO
(314) 832-2480 (314) 832-2498
X
X
X
Stark Pharmacy
5701 W 119th Street
Overland Park
KS
913-345-3800
X
X
X
Topical Solutions Pharmacy
20612 N. Cave Creek Rd. #150
Phoenix
AZ
(480) 351-8278 (480) 351-8277
X
TPS
3524 Decatur Highway Suite 302
Fultondale
AL
205-608-4995
205-608-2718
X
Transdermal Therapeutics, Inc.
211 Summit Pkwy Suite 124
Homewood
AL
877-581-5445
877-495-5445
X
V.L.S. Pharmacy, Inc.
4402 5th Avenue
Brooklyn
NY
(718) 854-1384 (718) 854-4313
X
X
X
X
X
X
X
Vasco Rx Specialty Pharmacy
4045 E Bell Rd Suite 163
Phoenix
AZ
(602) 971-6950 (602) 404-2504
X
X
X
X
X
X
X
Woodland Hills Pharmacy
20361 Ventura Blvd ste 305
Woodland Hills
CA
(855) 876-3060 (866) 893-9320
X
X
X
X
Xpress Compounding
1000 W. Weatherford St Suite 120
Fort Worth
TX
844-977-3770
X
X
X
X
Return to Instructions
401-823-0300
210-255-1461
913-345-3803
817-887-5545
TOP
HRT PED NAS STR SUP PTD
X
X
X
X
X
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X
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X
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X
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X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
* Return to Menu
Please Note: You may not see a pharmacy near you (or even in your state of residence) listed, however the
NCCP pharmacies listed for each state are licensed to dispense and ship compound medications to that state.
Not all NCCP pharmacies participate in all networks.
Please verify the compound credentialed pharmacy participates in your Plan’s network.
10-24-2016
INDIANA (IN)
Pharmacy Name
Address
City
State Phone
Access Compounding Pharmacy
1450 Emerson Ave. #110
McLean
VA
(571) 488-6620 (571) 488-6621
Advanced Infusion Solutions
623 Highland Colony Parkway Suite 100
Ridgeland
MS
877-443-4006
888-298-2220
America's Best Care Plus, Inc
1825 Everett Drive W.
Fort Payne
AL
800-638-6305
800-638-0294
X
X
X
America's Compounding Center
153 California St.
Newton
MA
617-527-1563
617-527-1565
X
X
X
Anderson Compounding Pharmacy
310 Bluff City Highway
Bristol
TN
423-764-4136
423-764-5167
X
X
X
Ashland Health
12 N. Catherine Ave
La Grange
IL
708-482-4000
708-482-4004
X
Aspirar Pharmacy
135 Parkway Office G STE 105
Cary
NC
919-971-9011
855-382-7700
X
Assured Rx
13555 Automobile Blvd Suite 230
Clearwater
FL
727-451-6815
888-209-4962
X
Athena Pharmacy
2025 N. Mt. Julliet Rd. Suite 100
Mt Juliet
TN
615-288-4037
615-288-4061
X
X
Auxilium Specialty Apothecary Pharmacy
16 Keystone Drive Suite B
Hattiesburg
MS
877-847-4612
888-615-6578
X
X
Avella of Deer Valley, Inc.
23620 N 20th Drive Suite 12
Phoenix
AZ
877-792-7684
866-792-7684
X
X
X
X
BioMed Specialty Pharmacy
7731 Cox Lane
West Chester
OH
513-847-1260
513-847-1506
X
X
X
X
Boothwyn Pharmacy
2341 Chichester Ave
Boothwyn
PA
610-485-1130
610-485-9223
X
X
X
Buderer Drug Company
633 Hancock Street
Sandusky
OH
419-627-2800
419-626-0494
X
X
X
X
Central Avenue Pharmacy, Inc
133 Fifteenth Street
Pacific Grove
CA
831-373-1225
831-373-3705
X
X
X
X
Central Rexall Drugs, Inc
125 E. Thomas Street
Hammond
LA
985-345-5120
985-345-5178
X
X
X
X
Century Pharmacy LLC
37 W. Century Rd Suite 113
Paramus
NJ
201-261-6479
201-261-9479
X
Clark Professional Pharmacy
3280 Washtenaw Ave
Ann Arbor
MI
734-369-8782
734-585-5184
X
X
X
Compound Care Plus Pharmacy
1410 Highway 98 Unit G
Daphne
AL
866-832-2263
866-832-2264
X
X
X
Compound Pharmaceutical Technologies
1048 Stanton Road Suite B
Daphne
AL
251-626-2820
251-626-2850
X
X
X
Compounding Docs Inc
5499 N Federal Hwy Suite G
Boca Raton
FL
561-826-0711
561-826-0717
X
X
X
X
Comprehensive Wellness Pharmacy
2269 Wilma Rudolph Blvd. Suite 103
Clarksville
TN
(855) 806-6042
Conversio Health
720 Aerovista Place Suite D
San Luis Obispo
CA
(866) 239-3784 (800) 977-9255
X
X
Curexa
3007 Ocean Heights Ave
Egg Harbor Township NJ
609-927-0390
609-927-0392
X
X
Custom Meds, Inc.
102 E Highland Blvd
Inverness
FL
352-341-1212
352-341-2626
X
X
Custom Pharmacy Solutions
Birmingham
Wichita
AL
KS
866-988-3383
316-721-2626
866-988-3553
316-721-4823
X
X
X
X
Custom Rx Pharmacy & Wellness Concepts
2637 Valleydale Rd.
3510 N Ridge Road Suite 900
X
X
X
X
DermaTran Health Solutions
2700 Stanley Gault Pkwy, Ste 103
Louisville
KY
855-675-5240
844-265-1995
X
DermaTran Health Solutions
85 Technology Pkwy NW
Rome
GA
855-675-5240
844-265-1995
X
Diabetes Corporation of America
4701 Trousdale Drive
Nashville
TN
877-730-5770
877-327-9174
X
X
X
Doug's Pharmacy
137 N. Market Street
Paxton
IL
X
X
Indianapolis
IN
217-379-6115
317-842-5953
X
7320 E 82nd Street
217-379-3684
317-842-5771
X
Dr. Aziz Pharmacy
X
X
X
X
Eastern States Compounding Pharmacy
338 Union Street
Littleton
NH
603-444-0094
603-444-0095
X
X
X
X
X
Eldon Drug Company
101 S. Maple Street
Eldon
MO
573-392-4588
573-392-4425
X
X
X
Essential Pharmacy Compounding
620 N 114 Street
Omaha
NE
402-408-0015
402-408-0020
X
X
X
X
X
X
Foothills Professional Pharmacy
4545 E. Chandler #100
Phoenix
AZ
480-496-4444
480-496-4450
X
X
Fort Wayne Custom Rx Inc
425 E Dupont Road
Fort Wayne
IN
260-490-3447
260-490-3457
X
X
X
X
X
Foundation Care, LLC
4010 Wedgeway Court
Earth City
MO
314-291-1122
314-291-1133
X
X
X
Fusion Rx Compounding Pharmacy
2001 Westwood Blvd. Suite A
Los Angeles
CA
(310) 204-6676 (310) 204-6678
X
X
X
X
Harbor Compounding and Home Healthcare
2000 Harbor Blvd Suite C100
Costa Mesa
CA
949-642-0106
949-642-5039
X
X
X
X
Health Dimensions, Inc
39303 Country Club Drive A26
Farmington Hills
MI
800-836-2303
248-489-1586
X
X
X
X
Hill Country Apothecary
1310 RR 620 S. Suite A-1
Lakeway
TX
512-351-9139
512-366-5573
X
X
X
X
Imprimis Rx
780 Primos Ave Unit E
Folcroft
PA
(888) 824-8100 (866) 302-7625
Infinity Compounding Solutions
1204 SE 28th Street Suite 2
Bentonville
AR
888-414-5805
855-422-2400
X
X
X
Innovation Compounding Inc
6095 Pine Mountain Road NW suite 108
Kennesaw
GA
770-421-1399
770-426-1965
X
X
X
Inverness Apothecary Trinity
24333 Gordon Terry Parkway Suite B
Trinity
AL
256-260-3350
256-260-3351
X
X
X
X
ITC Compounding & Natural Wellness Pharmacy
651 Topeka Way Ste 600
Castle Rock
CO
303-663-4224
303-663-4263
X
X
X
X
Lake Side Pharmacy
10005 AL Hwy 9 N
Cedar Bluff
AL
256-422-5010
866-609-4582
X
Lee Silsby Compounding Pharmacy
3216 Silsby Rd
Cleveland Heights
OH
216-321-4300
216-321-4303
X
X
X
Return to Instructions
Fax
TOP
HRT PED NAS STR SUP PTD
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X
X
X
X
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X
X
X
* Return to Menu
Please Note: You may not see a pharmacy near you (or even in your state of residence) listed, however the
NCCP pharmacies listed for each state are licensed to dispense and ship compound medications to that state.
Not all NCCP pharmacies participate in all networks.
Please verify the compound credentialed pharmacy participates in your Plan’s network.
10-24-2016
INDIANA (IN) – Continued
Pharmacy Name
Address
City
State Phone
Fax
Magnolia Specialty Pharmacy
163 Turtle Creek Drive Suite 130
Hattiesburg
MS
877-871-3935
888-990-0575
X
X
X
MasterPharm
115-02 Liberty Avenue
Richmond Hill
NY
718-529-5500
718-529-2780
X
X
X
Medaus Pharmacy
6801 Cahaba Valley Rd Suite 116
Birmingham
AL
(205) 981-2352 (205) 981-2767
X
X
X
Medscript Pharmacy
14400 John Humphery Drive Ste 110
Orland Park
IL
708-460-4930
708-460-4932
X
Millers Compounding Pharmacy
678 Wyckoff Avenue
Wyckoff
NJ
888-891-3334
866-891-3334
X
X
X
X
X
X
X
National Specialty Pharmacy LLC
2970 St. Rose Parkway #120
Henderson
NV
(702) 832-3320 (702) 425-9704
X
Park Compounding
9257 Research Dr
Irvine
CA
949-551-7195
949-551-1950
X
X
X
X
X
X
X
Patient Care America
5371 Hiatus Road
Sunrise
FL
954-473-4717
954-473-9519
Patterson Park Pharmacy
2245 Eastern ave
Baltimore
MD
(410) 675-6046 (410) 563-1147
Pentec Health, Inc.
4 Creek Parkway
Boothwyn
PA
800-223-4376
610-494-7328
Pharmacy Creations
540 Route 10 West
Randolph
NJ
973-328-8756
973-328-8731
X
Pharmacy Innovations
2936 W. 17th ST
Erie
PA
814-838-2102
814-838-2103
X
X
Pharmacy Innovations
4000 Park St
St. Petersburg
FL
727-381-0700
727-347-2050
X
X
Pharmacy Link
3648 Vann Road Building II Suite 116
Birmingham
AL
866-332-6966
866-374-4761
X
X
Pharmacy Solutions
5204 Jackson Road Suite C
Ann Arbor
MI
(734) 821-8000 (734) 821-8001
X
X
X
Phusion Pharmacy
17 Coventry Shoppers Park
Coventry
RI
401-823-0000
X
X
X
Pinnacle Compounding
1120 Kensington Ave. Ste. E
Missoula
MT
(406) 541-6121 (406) 541-6267
X
X
Precision Compounding Pharmacy
2113 State Street
New Albany
IN
812-941-9300
812-941-9417
X
X
Premier Pharmacy Inc.
109 Jack White Dr
Kingsport
TN
423-245-1022
423-245-6391
X
X
Professional Arts Pharmacy
128 Curran Lane
Lafayette
LA
337-991-0101
337-991-0151
X
X
X
X
RepublicRx Specialty Pharmacy
1862 W. Bitters Rd Ste. 100
San Antonio
TX
210-718-0300
210-255-1461
X
X
X
X
Rock Valley Compounding Pharmacy
811 S. Perryville Rd Unit 109
Rockford
IL
(779) 423-0542 (815) 977-3077
X
X
X
X
RoxSan Pharmacy
Beverly Hills
Jacksonville
CA
FL
(310) 273-1644 (310) 276-4152
904-361-3861 904-361-3866
X
X
X
X
Smart Pharmacy
465 N. Roxbury Dr. Ground Floor
3740 St. Johns Bluff Road #19
X
X
X
Sobe Compounding Apothecary
13150 SW 134 St
Miami
FL
305-969-5410
X
X
X
Specialty Chemist Corp.
65-60 Fresh Meadow Lane
Fresh Meadows
NY
(718) 353-2595 (718) 886-8658
X
X
Topical Solutions Pharmacy
20612 N. Cave Creek Rd. #150
Phoenix
AZ
(480) 351-8278 (480) 351-8277
X
TPS
3524 Decatur Highway Suite 302
Fultondale
AL
205-608-4995
205-608-2718
X
Transdermal Therapeutics, Inc.
211 Summit Pkwy Suite 124
Homewood
AL
877-581-5445
877-495-5445
X
Trinity Medical Pharmacy
9332 State Road 54 Suite 203
New Port Richey
FL
727-495-6979
727-213-6979
X
X
X
X
Vasco Rx Specialty Pharmacy
4045 E Bell Rd Suite 163
Phoenix
AZ
(602) 971-6950 (602) 404-2504
X
X
X
X
Westchase Compounding Pharmacy
12617 Race Track Road
Tampa
FL
813-925-8200
X
X
X
X
Return to Instructions
401-823-0300
305-969-5453
813-925-8933
TOP
HRT PED NAS STR SUP PTD
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
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X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
* Return to Menu
Please Note: You may not see a pharmacy near you (or even in your state of residence) listed, however the
NCCP pharmacies listed for each state are licensed to dispense and ship compound medications to that state.
Not all NCCP pharmacies participate in all networks.
Please verify the compound credentialed pharmacy participates in your Plan’s network.
10-24-2016
IOWA (IA)
Pharmacy Name
Address
City
State Phone
Fax
Advanced Infusion Solutions
623 Highland Colony Parkway Suite 100
Ridgeland
MS
877-443-4006
888-298-2220
TOP
HRT PED NAS STR SUP PTD
America's Best Care Plus, Inc
1825 Everett Drive W.
Fort Payne
AL
800-638-6305
800-638-0294
X
X
X
America's Compounding Center
153 California St.
Newton
MA
617-527-1563
617-527-1565
X
X
X
Anderson Compounding Pharmacy
310 Bluff City Highway
Bristol
TN
423-764-4136
423-764-5167
X
X
X
Ashland Health
12 N. Catherine Ave
La Grange
IL
708-482-4000
708-482-4004
X
Assured Rx
13555 Automobile Blvd Suite 230
Clearwater
FL
727-451-6815
888-209-4962
X
Athena Pharmacy
2025 N. Mt. Julliet Rd. Suite 100
Mt Juliet
TN
615-288-4037
615-288-4061
X
X
X
X
Avella of Deer Valley, Inc.
23620 N 20th Drive Suite 12
Phoenix
AZ
877-792-7684
866-792-7684
X
X
X
X
Central Rexall Drugs, Inc
125 E. Thomas Street
Hammond
LA
985-345-5120
985-345-5178
X
X
X
X
Century Pharmacy LLC
37 W. Century Rd Suite 113
Paramus
NJ
201-261-6479
201-261-9479
X
Chemistry Rx
829 Spruce Street Suite 100
Philadelphia
PA
855-790-0100
267-861-0862
X
X
X
Compound Care Plus Pharmacy
1410 Highway 98 Unit G
Daphne
AL
866-832-2263
866-832-2264
X
X
X
Comprehensive Wellness Pharmacy
2269 Wilma Rudolph Blvd. Suite 103
Clarksville
TN
(855) 806-6042
Conversio Health
720 Aerovista Place Suite D
San Luis Obispo
CA
(866) 239-3784 (800) 977-9255
Curexa
3007 Ocean Heights Ave
Egg Harbor Township NJ
609-927-0390
609-927-0392
X
X
Custom Meds, Inc.
102 E Highland Blvd
Inverness
FL
352-341-1212
352-341-2626
X
X
Custom Pharmacy Solutions
Birmingham
Wichita
AL
KS
866-988-3383
316-721-2626
866-988-3553
316-721-4823
X
X
X
X
Custom Rx Pharmacy & Wellness Concepts
2637 Valleydale Rd.
3510 N Ridge Road Suite 900
X
X
X
X
DermaTran Health Solutions
2700 Stanley Gault Pkwy, Ste 103
Louisville
KY
855-675-5240
844-265-1995
X
DermaTran Health Solutions
85 Technology Pkwy NW
Rome
GA
855-675-5240
844-265-1995
X
Diabetes Corporation of America
4701 Trousdale Drive
Nashville
TN
877-730-5770
877-327-9174
X
X
X
Essential Pharmacy Compounding
620 N 114 Street
Omaha
NE
402-408-0015
402-408-0020
X
X
X
Foothills Professional Pharmacy
4545 E. Chandler #100
Phoenix
AZ
480-496-4444
480-496-4450
X
X
Foundation Care, LLC
4010 Wedgeway Court
Earth City
MO
314-291-1122
314-291-1133
X
Fusion Rx Compounding Pharmacy
2001 Westwood Blvd. Suite A
Los Angeles
CA
(310) 204-6676 (310) 204-6678
Imprimis Rx
780 Primos Ave Unit E
Folcroft
PA
(888) 824-8100 (866) 302-7625
Infinity Compounding Solutions
1204 SE 28th Street Suite 2
Bentonville
AR
888-414-5805
Innovation Compounding Inc
6095 Pine Mountain Road NW suite 108
Kennesaw
GA
Inverness Apothecary Trinity
24333 Gordon Terry Parkway Suite B
Trinity
ITC Compounding & Natural Wellness Pharmacy
651 Topeka Way Ste 600
La Vita Compounding Pharmacy
Lee Silsby Compounding Pharmacy
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
855-422-2400
X
X
X
770-421-1399
770-426-1965
X
X
X
AL
256-260-3350
256-260-3351
X
X
X
X
Castle Rock
CO
303-663-4224
303-663-4263
X
X
X
X
3978 Sorrento Valley Blvd #300
San Diego
CA
858-453-2500
858-453-2501
X
X
X
X
3216 Silsby Rd
Cleveland Heights
OH
216-321-4300
216-321-4303
X
X
X
Magnolia Specialty Pharmacy
163 Turtle Creek Drive Suite 130
Hattiesburg
MS
877-871-3935
888-990-0575
X
X
X
MasterPharm
115-02 Liberty Avenue
Richmond Hill
NY
718-529-5500
718-529-2780
X
X
X
Medaus Pharmacy
6801 Cahaba Valley Rd Suite 116
Birmingham
AL
(205) 981-2352 (205) 981-2767
X
X
X
Medscript Pharmacy
14400 John Humphery Drive Ste 110
Orland Park
IL
708-460-4930
708-460-4932
X
Millers Compounding Pharmacy
678 Wyckoff Avenue
Wyckoff
NJ
888-891-3334
866-891-3334
X
X
X
X
X
X
X
National Specialty Pharmacy LLC
2970 St. Rose Parkway #120
Henderson
NV
(702) 832-3320 (702) 425-9704
X
Park Compounding
9257 Research Dr
Irvine
CA
949-551-7195
949-551-1950
X
X
X
X
X
X
X
Patient Care America
5371 Hiatus Road
Sunrise
FL
954-473-4717
954-473-9519
X
X
Pentec Health, Inc.
4 Creek Parkway
Boothwyn
PA
800-223-4376
610-494-7328
X
X
Pharmacy Creations
540 Route 10 West
Randolph
NJ
973-328-8756
973-328-8731
X
Pharmacy Innovations
863 Fairmount Ave
Jamestown
NY
716-484-1586
716-488-0073
X
X
Pharmacy Link
3648 Vann Road Building II Suite 116
Birmingham
AL
866-332-6966
866-374-4761
X
X
Phusion Pharmacy
17 Coventry Shoppers Park
Coventry
RI
401-823-0000
401-823-0300
X
X
Pinnacle Compounding
1120 Kensington Ave. Ste. E
Missoula
MT
(406) 541-6121 (406) 541-6267
X
X
RoxSan Pharmacy
465 N. Roxbury Dr. Ground Floor
3740 St. Johns Bluff Road #19
Beverly Hills
Jacksonville
CA
FL
(310) 273-1644 (310) 276-4152
904-361-3861 904-361-3866
X
X
X
Smart Pharmacy
X
X
X
Specialty Chemist Corp.
65-60 Fresh Meadow Lane
Fresh Meadows
NY
(718) 353-2595 (718) 886-8658
X
X
Stark Pharmacy
5701 W 119th Street
Overland Park
KS
913-345-3800
X
X
X
X
X
X
Topical Solutions Pharmacy
20612 N. Cave Creek Rd. #150
Phoenix
AZ
(480) 351-8278 (480) 351-8277
X
V.L.S. Pharmacy, Inc.
4402 5th Avenue
Brooklyn
NY
(718) 854-1384 (718) 854-4313
X
X
X
X
X
X
X
Vasco Rx Specialty Pharmacy
4045 E Bell Rd Suite 163
Phoenix
AZ
(602) 971-6950 (602) 404-2504
X
X
X
X
X
X
X
Woodland Hills Pharmacy
20361 Ventura Blvd ste 305
Woodland Hills
CA
(855) 876-3060 (866) 893-9320
X
X
X
X
Xpress Compounding
1000 W. Weatherford St Suite 120
Fort Worth
TX
844-977-3770
X
X
X
X
Return to Instructions
913-345-3803
817-887-5545
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
* Return to Menu
Please Note: You may not see a pharmacy near you (or even in your state of residence) listed, however the
NCCP pharmacies listed for each state are licensed to dispense and ship compound medications to that state.
Not all NCCP pharmacies participate in all networks.
Please verify the compound credentialed pharmacy participates in your Plan’s network.
10-24-2016
KANSAS (KS)
Pharmacy Name
Address
City
State Phone
1 Script Solution RX
2060 Space Park Drive, Ste 108
Houston
TX
(855) 553-3157 (855) 223-4008
X
Access Compounding Pharmacy
1450 Emerson Ave. #110
McLean
VA
(571) 488-6620 (571) 488-6621
X
Advanced Infusion Solutions
623 Highland Colony Parkway Suite 100
Ridgeland
MS
877-443-4006
888-298-2220
America's Best Care Plus, Inc
1825 Everett Drive W.
Fort Payne
AL
800-638-6305
800-638-0294
X
X
X
America's Compounding Center
153 California St.
Newton
MA
617-527-1563
617-527-1565
X
X
X
Anderson Compounding Pharmacy
310 Bluff City Highway
Bristol
TN
423-764-4136
423-764-5167
X
X
X
Ashland Health
12 N. Catherine Ave
La Grange
IL
708-482-4000
708-482-4004
X
Assured Rx
13555 Automobile Blvd Suite 230
Clearwater
FL
727-451-6815
888-209-4962
X
Athena Pharmacy
2025 N. Mt. Julliet Rd. Suite 100
Mt Juliet
TN
615-288-4037
615-288-4061
X
X
Auxilium Specialty Apothecary Pharmacy
16 Keystone Drive Suite B
Hattiesburg
MS
877-847-4612
888-615-6578
X
X
Avella of Deer Valley, Inc.
23620 N 20th Drive Suite 12
Phoenix
AZ
877-792-7684
866-792-7684
X
X
X
X
Central Avenue Pharmacy, Inc
133 Fifteenth Street
Pacific Grove
CA
831-373-1225
831-373-3705
X
X
X
X
Central Rexall Drugs, Inc
125 E. Thomas Street
Hammond
LA
985-345-5120
985-345-5178
X
X
X
X
Century Pharmacy LLC
37 W. Century Rd Suite 113
Paramus
NJ
201-261-6479
201-261-9479
X
Chemistry Rx
829 Spruce Street Suite 100
Philadelphia
PA
855-790-0100
267-861-0862
X
X
X
X
Clearspring Pharmacy
206 W. County Line Road Suite 100
Highlands Ranch
CO
303-707-1500
303-707-1717
X
X
X
X
Compound Care Plus Pharmacy
1410 Highway 98 Unit G
Daphne
AL
866-832-2263
866-832-2264
X
X
X
Conversio Health
720 Aerovista Place Suite D
San Luis Obispo
CA
(866) 239-3784 (800) 977-9255
Curexa
3007 Ocean Heights Ave
Egg Harbor Township NJ
609-927-0390
609-927-0392
X
X
Custom Meds, Inc.
102 E Highland Blvd
Inverness
FL
352-341-1212
352-341-2626
X
X
Custom Pharmacy Solutions
Birmingham
Wichita
AL
KS
866-988-3383
316-721-2626
866-988-3553
316-721-4823
X
X
X
X
Custom Rx Pharmacy & Wellness Concepts
2637 Valleydale Rd.
3510 N Ridge Road Suite 900
X
X
X
X
Custom Rx Pharmacy & Wellness Concepts
2350 N Greenwich Road Suite 1000
Wichita
KS
316-636-9595
316-636-9591
X
X
X
X
Dandurand Drugs
7732 E. Central
Wichita
KS
316-685-2353
316-685-5331
X
X
X
X
DermaTran Health Solutions
2700 Stanley Gault Pkwy, Ste 103
Louisville
KY
855-675-5240
844-265-1995
X
DermaTran Health Solutions
85 Technology Pkwy NW
Rome
GA
855-675-5240
844-265-1995
X
Diabetes Corporation of America
4701 Trousdale Drive
Nashville
TN
877-730-5770
877-327-9174
X
X
X
Eldon Drug Company
101 S. Maple Street
Eldon
MO
573-392-4588
573-392-4425
X
X
X
Essential Pharmacy Compounding
620 N 114 Street
Omaha
NE
402-408-0015
402-408-0020
X
X
X
Foothills Professional Pharmacy
4545 E. Chandler #100
Phoenix
AZ
480-496-4444
480-496-4450
X
X
Foundation Care, LLC
4010 Wedgeway Court
Earth City
MO
314-291-1122
314-291-1133
X
Fusion Rx Compounding Pharmacy
Los Angeles
Santa Clara
CA
UT
(310) 204-6676 (310) 204-6678
435-703-9680 435-703-9681
X
X
X
X
Fusion Specialty Pharmacy
2001 Westwood Blvd. Suite A
1100 Canyon View Drive Suite C
X
X
X
X
Heritage Compounding Pharmacy
11 Midtown Park East
Mobile
AL
251-472-0814
251-472-0864
X
X
X
X
Hopewell Pharmacy
1 West Borad Street
Hopewell
NJ
609-466-1960
609-466-8222
X
X
X
X
Imprimis Rx
780 Primos Ave Unit E
Folcroft
PA
(888) 824-8100 (866) 302-7625
Infinity Compounding Solutions
1204 SE 28th Street Suite 2
Bentonville
AR
888-414-5805
855-422-2400
X
X
X
Innovation Compounding Inc
6095 Pine Mountain Road NW suite 108
Kennesaw
GA
770-421-1399
770-426-1965
X
X
X
Inverness Apothecary Trinity
24333 Gordon Terry Parkway Suite B
Trinity
AL
256-260-3350
256-260-3351
X
X
X
X
ITC Compounding & Natural Wellness Pharmacy
651 Topeka Way Ste 600
Castle Rock
CO
303-663-4224
303-663-4263
X
X
X
X
Johnson Compounding & Wellness
577 Main Street
Waltham
MA
781-893-3870
781-899-1172
X
X
X
X
Lee Silsby Compounding Pharmacy
3216 Silsby Rd
Cleveland Heights
OH
216-321-4300
216-321-4303
X
X
X
Magnolia Specialty Pharmacy
163 Turtle Creek Drive Suite 130
Hattiesburg
MS
877-871-3935
888-990-0575
X
X
X
MasterPharm
115-02 Liberty Avenue
Richmond Hill
NY
718-529-5500
718-529-2780
X
X
X
Medaus Pharmacy
6801 Cahaba Valley Rd Suite 116
Birmingham
AL
(205) 981-2352 (205) 981-2767
X
X
X
Millers Compounding Pharmacy
678 Wyckoff Avenue
Wyckoff
NJ
888-891-3334
X
X
X
National Specialty Pharmacy LLC
2970 St. Rose Parkway #120
Henderson
NV
(702) 832-3320 (702) 425-9704
Return to Instructions
Fax
866-891-3334
TOP
HRT PED NAS STR SUP PTD
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X
X
X
X
X
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X
X
X
X
X
X
X
X
X
X
* Return to Menu
Please Note: You may not see a pharmacy near you (or even in your state of residence) listed, however the
NCCP pharmacies listed for each state are licensed to dispense and ship compound medications to that state.
Not all NCCP pharmacies participate in all networks.
Please verify the compound credentialed pharmacy participates in your Plan’s network.
10-24-2016
KANSAS (KS) – Continued
Pharmacy Name
Address
City
State Phone
Fax
Park Compounding
9257 Research Dr
Irvine
CA
949-551-7195
949-551-1950
X
X
X
X
X
X
X
Partell Specialty Pharmacy East
5835 S Eastern Ave Suite 101
Las Vegas
NV
702-791-3800
702-791-3630
X
X
X
X
X
X
X
Partell Specialty Pharmacy West
8751 W Charleston Blvd Suite 120
Las Vegas
NV
702-685-3800
702-685-3636
X
X
X
X
X
X
Patient Care America
5371 Hiatus Road
Sunrise
FL
954-473-4717
954-473-9519
X
Pentec Health, Inc.
4 Creek Parkway
Boothwyn
PA
800-223-4376
610-494-7328
X
PerforMix Specialty Pharmacy
25 Pelham Rd
Salem
NH
603-870-9618
603-870-9621
X
Pharmacy Creations
540 Route 10 West
Randolph
NJ
973-328-8756
973-328-8731
X
Pharmacy Innovations
2936 W. 17th ST
Erie
PA
814-838-2102
814-838-2103
X
X
Pharmacy Link
Birmingham
Altamonte Springs
AL
FL
866-332-6966
407-260-7002
866-374-4761
407-260-7044
X
X
Pharmacy Specialists
3648 Vann Road Building II Suite 116
393 Maitland Ave
X
X
Phusion Pharmacy
17 Coventry Shoppers Park
Coventry
RI
401-823-0000
401-823-0300
X
X
Pinnacle Compounding
1120 Kensington Ave. Ste. E
Missoula
MT
(406) 541-6121 (406) 541-6267
X
X
RepublicRx Specialty Pharmacy
1862 W. Bitters Rd Ste. 100
3740 St. Johns Bluff Road #19
San Antonio
Jacksonville
TX
FL
210-718-0300
904-361-3861
210-255-1461
904-361-3866
X
X
X
Smart Pharmacy
X
X
X
Sobe Compounding Apothecary
13150 SW 134 St
Miami
FL
305-969-5410
305-969-5453
X
X
X
X
X
Specialty Chemist Corp.
65-60 Fresh Meadow Lane
Fresh Meadows
NY
(718) 353-2595 (718) 886-8658
X
X
Stark Pharmacy
5701 W 119th Street
Overland Park
KS
X
X
X
X
X
X
X
The Apothecary Shoppe (Tulsa)
6136 E 51st Street
Tulsa
OK
913-345-3800
918-665-2003
X
X
X
X
X
X
X
Topical Solutions Pharmacy
20612 N. Cave Creek Rd. #150
Phoenix
AZ
(480) 351-8278 (480) 351-8277
X
Transdermal Therapeutics, Inc.
211 Summit Pkwy Suite 124
Homewood
AL
877-581-5445
877-495-5445
X
Trinity Medical Pharmacy
9332 State Road 54 Suite 203
New Port Richey
FL
727-495-6979
727-213-6979
X
X
X
X
V.L.S. Pharmacy, Inc.
4402 5th Avenue
Brooklyn
NY
(718) 854-1384 (718) 854-4313
X
X
X
X
Vasco Rx Specialty Pharmacy
4045 E Bell Rd Suite 163
Phoenix
AZ
(602) 971-6950 (602) 404-2504
X
X
X
Westchase Compounding Pharmacy
12617 Race Track Road
Tampa
FL
813-925-8200
X
X
Woodland Hills Pharmacy
20361 Ventura Blvd ste 305
Woodland Hills
CA
(855) 876-3060 (866) 893-9320
X
X
Xpress Compounding
1000 W. Weatherford St Suite 120
Fort Worth
TX
844-977-3770
X
X
Return to Instructions
913-345-3803
918-665-8283
813-925-8933
817-887-5545
TOP
HRT PED NAS STR SUP PTD
X
X
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X
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X
X
X
X
X
X
X
X
* Return to Menu
Please Note: You may not see a pharmacy near you (or even in your state of residence) listed, however the
NCCP pharmacies listed for each state are licensed to dispense and ship compound medications to that state.
Not all NCCP pharmacies participate in all networks.
Please verify the compound credentialed pharmacy participates in your Plan’s network.
10-24-2016
KENTUCKY (KY)
Pharmacy Name
Address
City
State Phone
Fax
Advanced Infusion Solutions
623 Highland Colony Parkway Suite 100
Ridgeland
MS
877-443-4006
888-298-2220
America's Best Care Plus, Inc
1825 Everett Drive W.
Fort Payne
AL
800-638-6305
800-638-0294
X
X
X
Anderson Compounding Pharmacy
310 Bluff City Highway
Bristol
TN
423-764-4136
423-764-5167
X
X
X
Assured Rx
13555 Automobile Blvd Suite 230
Clearwater
FL
727-451-6815
888-209-4962
X
Athena Pharmacy
2025 N. Mt. Julliet Rd. Suite 100
Mt Juliet
TN
615-288-4037
615-288-4061
X
X
X
X
Avella of Deer Valley, Inc.
23620 N 20th Drive Suite 12
Phoenix
AZ
877-792-7684
866-792-7684
X
X
X
X
BioMed Specialty Pharmacy
7731 Cox Lane
West Chester
OH
513-847-1260
513-847-1506
X
X
X
X
Boothwyn Pharmacy
2341 Chichester Ave
Boothwyn
PA
610-485-1130
610-485-9223
X
X
X
Buderer Drug Company
633 Hancock Street
Sandusky
OH
419-627-2800
419-626-0494
X
X
X
X
Central Avenue Pharmacy, Inc
133 Fifteenth Street
Pacific Grove
CA
831-373-1225
831-373-3705
X
X
X
X
Central Rexall Drugs, Inc
125 E. Thomas Street
Hammond
LA
985-345-5120
985-345-5178
X
X
X
X
Chemistry Rx
829 Spruce Street Suite 100
Philadelphia
PA
855-790-0100
267-861-0862
X
X
X
X
Compound Pharmaceutical Technologies
1048 Stanton Road Suite B
Daphne
AL
251-626-2820
251-626-2850
X
X
X
X
Comprehensive Wellness Pharmacy
2269 Wilma Rudolph Blvd. Suite 103
Clarksville
TN
(855) 806-6042
Conversio Health
720 Aerovista Place Suite D
San Luis Obispo
CA
(866) 239-3784 (800) 977-9255
Custom Meds, Inc.
102 E Highland Blvd
Inverness
FL
352-341-1212
352-341-2626
X
X
Custom Pharmacy Solutions
2637 Valleydale Rd.
Birmingham
AL
866-988-3383
866-988-3553
X
X
X
DermaTran Health Solutions
2700 Stanley Gault Pkwy, Ste 103
Louisville
KY
855-675-5240
844-265-1995
X
Diabetes Corporation of America
4701 Trousdale Drive
Nashville
TN
877-730-5770
877-327-9174
X
X
X
Essential Pharmacy Compounding
620 N 114 Street
Omaha
NE
402-408-0015
402-408-0020
X
X
X
Foothills Professional Pharmacy
4545 E. Chandler #100
Phoenix
AZ
480-496-4444
480-496-4450
X
X
Foundation Care, LLC
4010 Wedgeway Court
Earth City
MO
314-291-1122
314-291-1133
X
Fountain Plaza Pharmacy
2825 W. Andrew Johnson Hwy
Morristown
TN
(423) 307-5757 (423) 307-5241
X
X
X
X
Hill Country Apothecary
1310 RR 620 S. Suite A-1
Lakeway
TX
512-351-9139
512-366-5573
X
X
X
X
Hopewell Pharmacy
1 West Borad Street
Hopewell
NJ
609-466-1960
609-466-8222
X
X
X
X
Imprimis Rx
780 Primos Ave Unit E
Folcroft
PA
(888) 824-8100 (866) 302-7625
Infinity Compounding Solutions
1204 SE 28th Street Suite 2
Bentonville
AR
888-414-5805
855-422-2400
X
X
X
X
Inverness Apothecary Trinity
24333 Gordon Terry Parkway Suite B
Trinity
AL
256-260-3350
256-260-3351
X
X
X
X
ITC Compounding & Natural Wellness Pharmacy
651 Topeka Way Ste 600
Castle Rock
CO
303-663-4224
303-663-4263
X
X
X
X
Keystone Pharmacy, LLC
118 Weisenberger #400
Madison
MS
855-739-9948
855-221-0918
X
X
X
X
Lake Side Pharmacy
10005 AL Hwy 9 N
Cedar Bluff
AL
256-422-5010
866-609-4582
X
Lee Silsby Compounding Pharmacy
3216 Silsby Rd
Cleveland Heights OH
216-321-4300
216-321-4303
X
X
MasterPharm
115-02 Liberty Avenue
Richmond Hill
NY
718-529-5500
718-529-2780
X
X
Medaus Pharmacy
6801 Cahaba Valley Rd Suite 116
Birmingham
AL
(205) 981-2352 (205) 981-2767
X
X
X
Millers Compounding Pharmacy
678 Wyckoff Avenue
Wyckoff
NJ
888-891-3334
866-891-3334
X
X
X
X
X
X
X
Park Compounding
9257 Research Dr
Irvine
CA
949-551-7195
949-551-1950
X
X
X
X
X
X
X
Patient Care America
5371 Hiatus Road
Sunrise
FL
954-473-4717
954-473-9519
X
X
Pentec Health, Inc.
4 Creek Parkway
Boothwyn
PA
800-223-4376
610-494-7328
X
X
Pharmacy Creations
540 Route 10 West
Randolph
NJ
973-328-8756
973-328-8731
X
Pharmacy Link
3648 Vann Road Building II Suite 116
Birmingham
AL
866-332-6966
866-374-4761
X
X
Precision Compounding Pharmacy
2113 State Street
New Albany
IN
812-941-9300
812-941-9417
X
X
Premier Pharmacy Inc.
109 Jack White Dr
Kingsport
TN
423-245-1022
423-245-6391
X
X
ProCompounding Pharmacy
527 N. State of Franklin Rd. Suite 2
Johnson City
TN
(423) 975-0597 (423) 975-6304
X
X
X
X
Professional Arts Pharmacy
128 Curran Lane
Lafayette
LA
337-991-0101
X
X
X
X
RoxSan Pharmacy
465 N. Roxbury Dr. Ground Floor
Beverly Hills
CA
(310) 273-1644 (310) 276-4152
X
X
X
Sobe Compounding Apothecary
13150 SW 134 St
Miami
FL
305-969-5410
305-969-5453
X
X
Stark Pharmacy
5701 W 119th Street
Overland Park
KS
913-345-3800
913-345-3803
X
X
TPS
3524 Decatur Highway Suite 302
Fultondale
AL
205-608-4995
205-608-2718
X
Transdermal Therapeutics, Inc.
211 Summit Pkwy Suite 124
Homewood
AL
877-581-5445
877-495-5445
X
Trinity Medical Pharmacy
9332 State Road 54 Suite 203
New Port Richey
FL
727-495-6979
727-213-6979
X
X
X
X
Vasco Rx Specialty Pharmacy
4045 E Bell Rd Suite 163
Phoenix
AZ
(602) 971-6950 (602) 404-2504
X
X
X
X
Return to Instructions
TOP
HRT PED NAS STR SUP PTD
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
337-991-0151
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
* Return to Menu
Please Note: You may not see a pharmacy near you (or even in your state of residence) listed, however the
NCCP pharmacies listed for each state are licensed to dispense and ship compound medications to that state.
Not all NCCP pharmacies participate in all networks.
Please verify the compound credentialed pharmacy participates in your Plan’s network.
10-24-2016
LOUISIANA (LA)
Pharmacy Name
Address
City
State Phone
Fax
Advanced Infusion Solutions
623 Highland Colony Parkway Suite 100
Ridgeland
MS
877-443-4006
888-298-2220
TOP
HRT PED NAS STR SUP PTD
America's Best Care Plus, Inc
1825 Everett Drive W.
Fort Payne
AL
800-638-6305
800-638-0294
X
X
X
America's Compounding Center
153 California St.
Newton
MA
617-527-1563
617-527-1565
X
X
X
Anderson Compounding Pharmacy
310 Bluff City Highway
Bristol
TN
423-764-4136
423-764-5167
X
X
X
Assured Rx
13555 Automobile Blvd Suite 230
Clearwater
FL
727-451-6815
888-209-4962
X
Athena Pharmacy
2025 N. Mt. Julliet Rd. Suite 100
Mt Juliet
TN
615-288-4037
615-288-4061
X
X
X
X
Avella of Deer Valley, Inc.
23620 N 20th Drive Suite 12
Phoenix
AZ
877-792-7684
866-792-7684
X
X
X
X
Boudreaux's Specialty Compounding Pharmacy
2551 Greenwood Road #110
Shreveport
LA
318-631-2005
318-631-1883
X
X
X
X
Central Avenue Pharmacy, Inc
133 Fifteenth Street
Pacific Grove
CA
831-373-1225
831-373-3705
X
X
X
X
Central Rexall Drugs, Inc
125 E. Thomas Street
Hammond
LA
985-345-5120
985-345-5178
X
X
X
X
Compound Care Plus Pharmacy
1410 Highway 98 Unit G
Daphne
AL
866-832-2263
866-832-2264
X
X
X
Compound Pharmaceutical Technologies
1048 Stanton Road Suite B
Daphne
AL
251-626-2820
251-626-2850
X
X
X
Conversio Health
720 Aerovista Place Suite D
San Luis Obispo CA
(866) 239-3784 (800) 977-9255
Custom Meds, Inc.
102 E Highland Blvd
Inverness
FL
352-341-1212
352-341-2626
X
X
Custom Pharmacy Solutions
2637 Valleydale Rd.
Birmingham
AL
866-988-3383
866-988-3553
X
X
X
DermaTran Health Solutions
85 Technology Pkwy NW
Rome
GA
855-675-5240
844-265-1995
X
Diabetes Corporation of America
4701 Trousdale Drive
Nashville
TN
877-730-5770
877-327-9174
X
X
X
Essential Pharmacy Compounding
620 N 114 Street
Omaha
NE
402-408-0015
402-408-0020
X
X
X
Foothills Professional Pharmacy
4545 E. Chandler #100
Phoenix
AZ
480-496-4444
480-496-4450
X
X
Foundation Care, LLC
4010 Wedgeway Court
Earth City
MO
314-291-1122
314-291-1133
X
Infinity Compounding Solutions
1204 SE 28th Street Suite 2
Bentonville
AR
888-414-5805
855-422-2400
X
X
X
X
Inverness Apothecary Trinity
24333 Gordon Terry Parkway Suite B
223 E. FM 544 Suite 806
Trinity
Murphy
AL
TX
256-260-3350
972-535-2020
256-260-3351
855-385-9990
X
X
X
X
Inverness Lone Star Pharmacy
X
X
X
X
Keystone Pharmacy, LLC
118 Weisenberger #400
Madison
MS
855-739-9948
855-221-0918
X
X
X
X
Lake Side Pharmacy
10005 AL Hwy 9 N
Cedar Bluff
AL
256-422-5010
866-609-4582
X
Magnolia Specialty Pharmacy
163 Turtle Creek Drive Suite 130
Hattiesburg
MS
877-871-3935
888-990-0575
X
MasterPharm
115-02 Liberty Avenue
Richmond Hill
NY
718-529-5500
718-529-2780
Medaus Pharmacy
Memorial Compounding Pharmacy
6801 Cahaba Valley Rd Suite 116
2918 San Jacinto Street
Birmingham
Houston
AL
TX
Millers Compounding Pharmacy
678 Wyckoff Avenue
Wyckoff
Park Compounding
9257 Research Dr
Irvine
Patient Care America
5371 Hiatus Road
Pentec Health, Inc.
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
(205) 981-2352 (205) 981-2767
713-523-7847 713-524-5024
X
X
X
X
NJ
888-891-3334
866-891-3334
X
X
X
X
X
X
X
CA
949-551-7195
949-551-1950
X
X
X
X
X
X
X
Sunrise
FL
954-473-4717
954-473-9519
X
4 Creek Parkway
Boothwyn
PA
800-223-4376
610-494-7328
X
Pharmacy Innovations
1030 Louetta Road Suite C
Houston
TX
281-251-0888
281-251-0889
X
X
Pharmacy Link
3648 Vann Road Building II Suite 116
Birmingham
AL
866-332-6966
866-374-4761
X
X
X
Premier Pharmacy Inc.
109 Jack White Dr
Kingsport
TN
423-245-1022
423-245-6391
X
X
X
Professional Arts Pharmacy
128 Curran Lane
Lafayette
LA
337-991-0101
337-991-0151
X
X
X
X
Rx3 Compounding Pharmacy
12230 Ironbridge Rd Suite C
Chester
VA
804-717-5000
804-717-8300
X
X
X
X
Transdermal Therapeutics, Inc.
211 Summit Pkwy Suite 124
Homewood
AL
877-581-5445
877-495-5445
X
Trinity Medical Pharmacy
9332 State Road 54 Suite 203
New Port Richey FL
727-495-6979
727-213-6979
X
X
X
X
Vasco Rx Specialty Pharmacy
4045 E Bell Rd Suite 163
Phoenix
AZ
(602) 971-6950 (602) 404-2504
X
X
X
X
Woodland Hills Pharmacy
20361 Ventura Blvd ste 305
Woodland Hills
CA
(855) 876-3060 (866) 893-9320
X
X
X
X
Return to Instructions
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
* Return to Menu
Please Note: You may not see a pharmacy near you (or even in your state of residence) listed, however the
NCCP pharmacies listed for each state are licensed to dispense and ship compound medications to that state.
Not all NCCP pharmacies participate in all networks.
Please verify the compound credentialed pharmacy participates in your Plan’s network.
10-24-2016
MAINE (ME)
Pharmacy Name
Address
City
State Phone
Fax
Acton Pharmacy Inc
563 Massachusetts Ave
Acton
MA
978-263-3901
978-263-3901
TOP
Advanced Infusion Solutions
623 Highland Colony Parkway Suite 100
Ridgeland
MS
877-443-4006
888-298-2220
America's Best Care Plus, Inc
1825 Everett Drive W.
Fort Payne
AL
800-638-6305
800-638-0294
X
X
X
America's Compounding Center
153 California St.
Newton
MA
617-527-1563
617-527-1565
X
X
X
Anderson Compounding Pharmacy
310 Bluff City Highway
Bristol
TN
423-764-4136
423-764-5167
X
X
X
Assured Rx
13555 Automobile Blvd Suite 230
Clearwater
FL
727-451-6815
888-209-4962
X
Avella of Deer Valley, Inc.
23620 N 20th Drive Suite 12
Phoenix
AZ
877-792-7684
866-792-7684
X
X
X
X
Birds Hill Pharmacy
401 Great Plain Ave
Needham
MA
781-449-0550
781-449-7993
X
X
X
X
Boothwyn Pharmacy
2341 Chichester Ave
Boothwyn
PA
610-485-1130
610-485-9223
X
X
X
Central Avenue Pharmacy, Inc
133 Fifteenth Street
Pacific Grove
CA
831-373-1225
831-373-3705
X
X
X
X
Central Rexall Drugs, Inc
125 E. Thomas Street
Hammond
LA
985-345-5120
985-345-5178
X
X
X
X
Compound Care Plus Pharmacy
1410 Highway 98 Unit G
Daphne
AL
866-832-2263
866-832-2264
X
X
X
Conversio Health
720 Aerovista Place Suite D
San Luis Obispo
CA
(866) 239-3784 (800) 977-9255
Custom Meds, Inc.
102 E Highland Blvd
Inverness
FL
352-341-1212
352-341-2626
X
X
DermaTran Health Solutions
2700 Stanley Gault Pkwy, Ste 103
Louisville
KY
855-675-5240
844-265-1995
X
DermaTran Health Solutions
85 Technology Pkwy NW
Rome
GA
855-675-5240
844-265-1995
X
Eastern States Compounding Pharmacy
338 Union Street
Littleton
NH
603-444-0094
603-444-0095
X
X
X
X
X
Essential Pharmacy Compounding
620 N 114 Street
Omaha
NE
402-408-0015
402-408-0020
X
X
X
X
X
Foothills Professional Pharmacy
4545 E. Chandler #100
Phoenix
AZ
480-496-4444
480-496-4450
X
X
Foundation Care, LLC
4010 Wedgeway Court
Earth City
MO
314-291-1122
314-291-1133
X
Fusion Rx Compounding Pharmacy
2001 Westwood Blvd. Suite A
Los Angeles
CA
(310) 204-6676 (310) 204-6678
X
X
X
X
Hopewell Pharmacy
1 West Borad Street
Hopewell
NJ
609-466-1960
609-466-8222
X
X
X
X
Infinity Compounding Solutions
1204 SE 28th Street Suite 2
Bentonville
AR
888-414-5805
855-422-2400
X
X
X
X
Innovation Compounding Inc
6095 Pine Mountain Road NW suite 108
Kennesaw
GA
770-421-1399
770-426-1965
X
X
X
Inverness Apothecary Trinity
24333 Gordon Terry Parkway Suite B
Trinity
AL
256-260-3350
256-260-3351
X
X
X
X
ITC Compounding & Natural Wellness Pharmacy
651 Topeka Way Ste 600
Castle Rock
CO
303-663-4224
303-663-4263
X
X
X
X
Johnson Compounding & Wellness
577 Main Street
Waltham
MA
781-893-3870
781-899-1172
X
X
X
X
Lee Silsby Compounding Pharmacy
3216 Silsby Rd
Cleveland Heights OH
216-321-4300
216-321-4303
X
X
X
Magnolia Specialty Pharmacy
163 Turtle Creek Drive Suite 130
Hattiesburg
MS
877-871-3935
888-990-0575
X
X
X
MasterPharm
115-02 Liberty Avenue
Richmond Hill
NY
718-529-5500
718-529-2780
X
X
X
X
Millers Compounding Pharmacy
678 Wyckoff Avenue
Wyckoff
NJ
888-891-3334
866-891-3334
X
X
X
X
Patient Care America
5371 Hiatus Road
Sunrise
FL
954-473-4717
954-473-9519
X
Pentec Health, Inc.
4 Creek Parkway
Boothwyn
PA
800-223-4376
610-494-7328
X
Pharmacy Innovations
2936 W. 17th ST
Erie
PA
814-838-2102
814-838-2103
Pinnacle Compounding
1120 Kensington Ave. Ste. E
Missoula
MT
Trinity Medical Pharmacy
9332 State Road 54 Suite 203
New Port Richey
Vasco Rx Specialty Pharmacy
4045 E Bell Rd Suite 163
Phoenix
Woodland Hills Pharmacy
20361 Ventura Blvd ste 305
Xpress Compounding
1000 W. Weatherford St Suite 120
X
HRT PED NAS STR SUP PTD
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
(406) 541-6121 (406) 541-6267
X
X
FL
727-495-6979
X
X
X
X
AZ
(602) 971-6950 (602) 404-2504
X
X
X
X
Woodland Hills
CA
(855) 876-3060 (866) 893-9320
X
X
X
X
Fort Worth
TX
844-977-3770
X
X
Return to Instructions
X
X
X
817-887-5545
X
X
X
X
727-213-6979
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
* Return to Menu
Please Note: You may not see a pharmacy near you (or even in your state of residence) listed, however the
NCCP pharmacies listed for each state are licensed to dispense and ship compound medications to that state.
Not all NCCP pharmacies participate in all networks.
Please verify the compound credentialed pharmacy participates in your Plan’s network.
10-24-2016
MARYLAND (MD)
Pharmacy Name
Address
City
State Phone
Access Compounding Pharmacy
1450 Emerson Ave. #110
McLean
VA
(571) 488-6620 (571) 488-6621
Advanced Infusion Solutions
623 Highland Colony Parkway Suite 100
Ridgeland
MS
877-443-4006
Alexandria Compounding Pharmacy
500 Montgomery St. #120
Alexandria
VA
(703) 549-4350 (703) 683-1039
X
X
X
America's Best Care Plus, Inc
1825 Everett Drive W.
Fort Payne
AL
800-638-6305
800-638-0294
X
X
X
Anderson Compounding Pharmacy
310 Bluff City Highway
Bristol
TN
423-764-4136
423-764-5167
X
X
X
Assured Rx
13555 Automobile Blvd Suite 230
Clearwater
FL
727-451-6815
888-209-4962
X
Athena Pharmacy
2025 N. Mt. Julliet Rd. Suite 100
Mt Juliet
TN
615-288-4037
615-288-4061
X
X
X
X
Avella of Deer Valley, Inc.
23620 N 20th Drive Suite 12
Phoenix
AZ
877-792-7684
866-792-7684
X
X
X
X
Boothwyn Pharmacy
2341 Chichester Ave
Boothwyn
PA
610-485-1130
610-485-9223
X
X
X
Bradley Drugs
6900 Arlington Road
Bethesda
MD
(301) 654-6776 (301) 657-9361
X
X
X
X
Central Avenue Pharmacy, Inc
133 Fifteenth Street
Pacific Grove
CA
831-373-1225
831-373-3705
X
X
X
X
Central Rexall Drugs, Inc
125 E. Thomas Street
Hammond
LA
985-345-5120
985-345-5178
X
X
X
X
Chemistry Rx
829 Spruce Street Suite 100
Philadelphia
PA
855-790-0100
267-861-0862
X
X
X
X
Compound Care Plus Pharmacy
1410 Highway 98 Unit G
Daphne
AL
866-832-2263
866-832-2264
X
X
X
Compounding Docs Inc
5499 N Federal Hwy Suite G
Boca Raton
FL
561-826-0711
561-826-0717
X
X
X
X
Conversio Health
720 Aerovista Place Suite D
San Luis Obispo
CA
(866) 239-3784 (800) 977-9255
X
X
Curexa
3007 Ocean Heights Ave
Egg Harbor Township NJ
609-927-0390
609-927-0392
X
X
Custom Meds, Inc.
102 E Highland Blvd
Inverness
FL
352-341-1212
352-341-2626
X
X
Custom Pharmacy Solutions
2637 Valleydale Rd.
Birmingham
AL
866-988-3383
866-988-3553
X
X
DermaTran Health Solutions
2700 Stanley Gault Pkwy, Ste 103
Louisville
KY
855-675-5240
844-265-1995
X
DermaTran Health Solutions
85 Technology Pkwy NW
Rome
GA
855-675-5240
844-265-1995
X
Eastern States Compounding Pharmacy
338 Union Street
Littleton
NH
603-444-0094
603-444-0095
X
X
X
X
X
Essential Pharmacy Compounding
620 N 114 Street
Omaha
NE
402-408-0015
402-408-0020
X
X
X
X
X
Foothills Professional Pharmacy
4545 E. Chandler #100
Phoenix
AZ
480-496-4444
480-496-4450
X
X
Foundation Care, LLC
4010 Wedgeway Court
Earth City
MO
314-291-1122
314-291-1133
X
Fusion Rx Compounding Pharmacy
2001 Westwood Blvd. Suite A
Los Angeles
CA
(310) 204-6676 (310) 204-6678
X
X
X
X
Hopewell Pharmacy
1 West Borad Street
4330 South Manhattan Avenue
Hopewell
Tampa
NJ
FL
609-466-1960
813-839-8861
X
X
X
X
X
X
Hoye's Pharmacy
X
X
X
X
X
X
Imprimis Rx
780 Primos Ave Unit E
Folcroft
PA
(888) 824-8100 (866) 302-7625
Infinity Compounding Solutions
1204 SE 28th Street Suite 2
Bentonville
AR
888-414-5805
855-422-2400
X
X
X
Innovation Compounding Inc
6095 Pine Mountain Road NW suite 108
Kennesaw
GA
770-421-1399
770-426-1965
X
X
X
X
X
Inverness Apothecary Trinity
Trinity
Murphy
AL
TX
256-260-3350
972-535-2020
256-260-3351
855-385-9990
X
X
X
X
Inverness Lone Star Pharmacy
24333 Gordon Terry Parkway Suite B
223 E. FM 544 Suite 806
X
X
X
X
ITC Compounding & Natural Wellness Pharmacy
651 Topeka Way Ste 600
Castle Rock
CO
303-663-4224
303-663-4263
X
X
X
X
Keystone Pharmacy, LLC
118 Weisenberger #400
Madison
MS
855-739-9948
855-221-0918
X
X
X
X
Lee Silsby Compounding Pharmacy
3216 Silsby Rd
Cleveland Heights
OH
216-321-4300
216-321-4303
X
X
X
Magnolia Specialty Pharmacy
163 Turtle Creek Drive Suite 130
Hattiesburg
MS
877-871-3935
888-990-0575
X
X
X
MasterPharm
115-02 Liberty Avenue
Richmond Hill
NY
718-529-5500
718-529-2780
X
X
X
Medaus Pharmacy
6801 Cahaba Valley Rd Suite 116
Birmingham
AL
(205) 981-2352 (205) 981-2767
X
X
X
X
X
Medical Center Pharmacy
912 S. 16th Street
Wilmington
NC
910-763-1896
910-763-1709
X
X
X
X
X
X
Medicap Pharmacy
956 J. Clyde Morris Blvd
Newport News
VA
757-599-9643
757-599-9647
X
Millers Compounding Pharmacy
678 Wyckoff Avenue
Wyckoff
NJ
888-891-3334
866-891-3334
X
X
X
X
X
Patient Care America
5371 Hiatus Road
Sunrise
FL
954-473-4717
954-473-9519
Patterson Park Pharmacy
2245 Eastern ave
Baltimore
MD
(410) 675-6046 (410) 563-1147
Pentec Health, Inc.
4 Creek Parkway
Boothwyn
PA
800-223-4376
610-494-7328
Pharmacy Creations
540 Route 10 West
Randolph
NJ
973-328-8756
973-328-8731
X
Pharmacy Innovations
2936 W. 17th ST
Erie
PA
814-838-2102
814-838-2103
X
X
Pharmacy Link
3648 Vann Road Building II Suite 116
Birmingham
AL
866-332-6966
866-374-4761
X
X
Pharmacy Solutions
5204 Jackson Road Suite C
Ann Arbor
MI
(734) 821-8000 (734) 821-8001
X
X
Return to Instructions
Fax
TOP
HRT PED NAS STR SUP PTD
X
X
X
888-298-2220
609-466-8222
813-839-8941
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
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X
X
X
* Return to Menu
Please Note: You may not see a pharmacy near you (or even in your state of residence) listed, however the
NCCP pharmacies listed for each state are licensed to dispense and ship compound medications to that state.
Not all NCCP pharmacies participate in all networks.
Please verify the compound credentialed pharmacy participates in your Plan’s network.
10-24-2016
MARYLAND (MD)-Continued
Pharmacy Name
Address
City
State Phone
Pinnacle Compounding
1120 Kensington Ave. Ste. E
Missoula
MT
(406) 541-6121 (406) 541-6267
X
X
Premier Pharmacy Inc.
109 Jack White Dr
Kingsport
TN
423-245-1022
423-245-6391
X
X
Rustburg Family Pharmacy
925 Village Hwy Ste 2
Rustburg
VA
434-332-1730
434-332-1736
X
X
X
X
X
X
X
Rx3 Compounding Pharmacy
12230 Ironbridge Rd Suite C
Chester
VA
804-717-5000
804-717-8300
X
X
X
X
X
X
X
The Compounding Center
36 Catoctin Circle Southeast
Leesburg
VA
703-779-3301
703-443-2283
X
X
X
X
X
X
X
TPS
3524 Decatur Highway Suite 302
Fultondale
AL
205-608-4995
205-608-2718
X
Transdermal Therapeutics, Inc.
211 Summit Pkwy Suite 124
Homewood
AL
877-581-5445
877-495-5445
X
Trinity Medical Pharmacy
9332 State Road 54 Suite 203
New Port Richey
FL
727-495-6979
727-213-6979
X
X
X
X
Vasco Rx Specialty Pharmacy
4045 E Bell Rd Suite 163
Phoenix
AZ
(602) 971-6950 (602) 404-2504
X
X
X
X
Westchase Compounding Pharmacy
12617 Race Track Road
Tampa
FL
813-925-8200
X
X
X
X
Woodland Hills Pharmacy
20361 Ventura Blvd ste 305
Woodland Hills
CA
(855) 876-3060 (866) 893-9320
X
X
X
X
Return to Instructions
Fax
813-925-8933
TOP
HRT PED NAS STR SUP PTD
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
* Return to Menu
Please Note: You may not see a pharmacy near you (or even in your state of residence) listed, however the
NCCP pharmacies listed for each state are licensed to dispense and ship compound medications to that state.
Not all NCCP pharmacies participate in all networks.
Please verify the compound credentialed pharmacy participates in your Plan’s network.
10-24-2016
MASSACHUSETTS (MA)
Pharmacy Name
Address
City
State Phone
1 Script Solution RX
2060 Space Park Drive, Ste 108
Houston
TX
(855) 553-3157 (855) 223-4008
X
AAA Compounding Pharmacy
7921 Westminster Blvd.
Westminster
CA
(714) 988-6888 (714) 677-2400
X
Access Compounding Pharmacy
1450 Emerson Ave. #110
McLean
VA
(571) 488-6620 (571) 488-6621
X
Acton Pharmacy Inc
563 Massachusetts Ave
Acton
MA
978-263-3901
978-263-3901
X
Advanced Infusion Solutions
623 Highland Colony Parkway Suite 100
Ridgeland
MS
877-443-4006
888-298-2220
Advanced Therapeutics
319 E Palm Dr. Ste A & B
Placentia
CA
(714) 667-3832 (888) 978-5154
X
Akron Health Mart Pharmacy
879 East Exchange St
Akron
OH
330-375-5040
X
X
X
Alexandria Compounding Pharmacy
500 Montgomery St. #120
Alexandria
VA
(703) 549-4350 (703) 683-1039
X
X
X
All-Care Pharmacy
8415 N Pima Rd Suite 125
Scottsdale
AZ
(480) 270-6700 (480) 270-6701
X
X
X
Allcare Pharmacy and Healthcare Services
112 S. Oxley Drive
Lyons
GA
912-526-3200
912-526-5960
X
X
X
America's Best Care Plus, Inc
1825 Everett Drive W.
Fort Payne
AL
800-638-6305
800-638-0294
X
X
X
America's Compounding Center
153 California St.
Newton
MA
617-527-1563
617-527-1565
X
X
X
Anderson Compounding Pharmacy
310 Bluff City Highway
Bristol
TN
423-764-4136
423-764-5167
X
X
X
Apothecare Compounding Pharmacy
9150 Huebner Rd. Suite #125B
San Antonio
TX
(210) 696-4100 (210) 696-4105
X
X
Ashland Health
12 N. Catherine Ave
La Grange
IL
708-482-4000
708-482-4004
X
Aspirar Pharmacy
135 Parkway Office G STE 105
Cary
NC
919-971-9011
855-382-7700
X
Assured Rx
13555 Automobile Blvd Suite 230
Clearwater
FL
727-451-6815
888-209-4962
X
Athena Pharmacy
2025 N. Mt. Julliet Rd. Suite 100
Mt Juliet
TN
615-288-4037
615-288-4061
X
X
Auxilium Specialty Apothecary Pharmacy
16 Keystone Drive Suite B
Hattiesburg
MS
877-847-4612
888-615-6578
X
X
Avella of Deer Valley, Inc.
23620 N 20th Drive Suite 12
Phoenix
AZ
877-792-7684
866-792-7684
X
X
X
X
Avella of Scottsdale, Inc.
9777 N 91st ST
Scottsdale
AZ
480-451-3771
480-451-3503
X
X
X
X
Avella of Tucson, Inc.
4512 E Camp Lowell Drive
Tucson
AZ
520-918-0044
520-918-0043
X
X
X
X
B&J Pharmacy
2111 Hunter Road
San Marcos
TX
512-392-3301
512-392-3360
X
X
X
X
Baker Express Pharmacy
1842 N Hwy 81
Duncan
OK
580-255-3784
580-252-6278
X
X
X
X
Best Choice Pharmacy
138-19 Queens Blvd
Briarwood
NY
(718) 558-0008 (718) 558-0001
X
X
X
BioMed Specialty Pharmacy
7731 Cox Lane
West Chester
OH
513-847-1260
513-847-1506
X
X
X
X
X
Birds Hill Pharmacy
401 Great Plain Ave
Needham
MA
781-449-0550
781-449-7993
X
X
X
X
X
Boothwyn Pharmacy
2341 Chichester Ave
Boothwyn
PA
610-485-1130
610-485-9223
X
X
X
Boudreaux's Specialty Compounding Pharmacy
2551 Greenwood Road #110
Shreveport
LA
318-631-2005
318-631-1883
X
X
X
X
Bradley Drugs
6900 Arlington Road
Bethesda
MD
(301) 654-6776 (301) 657-9361
X
X
X
X
Broadway Apothecary
1515 Oak Street
Eugene
OR
541-684-9352
541-684-0858
X
X
X
X
Buderer Drug Company
38530 Chester Road Suite 400
Avon
OH
440-934-3100
440-934-3103
X
X
X
X
X
X
X
Buderer Drug Company
26611 N. Dixie Highway Suite 119
Perrysburg
OH
419-873-2800
419-873-0494
X
X
X
X
X
X
X
Buderer Drug Company
633 Hancock Street
Sandusky
OH
419-627-2800
419-626-0494
X
X
X
X
X
X
X
Cadila Pharmacy
23832 Southfield Rd
Southfield
MI
(248) 557-9333 (248) 557-4970
X
Carefree Compounding Wellness
2525 W. Carefree Hwy Bld 1 Suite 100
Peoria
AZ
623-806-1300
623-806-1304
X
X
X
Carolina Compounding & Nutritional Pharmacy
7825 Ballantyne Commons Parkway Suite 230
Charlotte
NC
704-540-4330
704-540-4660
X
X
X
X
Cascade Specialty Pharmacy
325 NE Hostmark St
Poulsbo
WA
(360) 779-2737 (360) 779-4905
X
X
X
X
CDM Drugs
2865 E Coast Hwy, Ste 150
Corona Del Mar
CA
(949) 644-7575 (949) 644-2340
X
X
Central Avenue Pharmacy, Inc
133 Fifteenth Street
Pacific Grove
CA
831-373-1225
831-373-3705
X
X
X
X
Central Rexall Drugs, Inc
125 E. Thomas Street
Hammond
LA
985-345-5120
985-345-5178
X
X
X
X
Century Pharmacy Inc
483 Kings Highway
Brooklyn
NY
718-375-4100
718-375-4633
X
Century Pharmacy LLC
37 W. Century Rd Suite 113
Paramus
NJ
201-261-6479
201-261-9479
X
Chemistry Rx
829 Spruce Street Suite 100
Philadelphia
PA
855-790-0100
267-861-0862
X
X
X
X
City Place Pharmacy
4047 Okeechobee Blvd Ste 218
West Palm Beach
FL
(561) 833-9960 (561) 835-1201
X
X
X
X
Clark Professional Pharmacy
3280 Washtenaw Ave
Ann Arbor
MI
734-369-8782
X
X
X
X
X
Clark's Rx Pharmacy
7415 Old Troy Pike
Huber Heights
OH
(937) 506-3060 (937) 506-3061
X
X
X
X
X
Clearspring Pharmacy
Highlands Ranch
Denton
CO
TX
303-707-1500
940-382-1618
303-707-1717
940-898-1986
X
X
X
X
X
X
X
Community Pharmacy
206 W. County Line Road Suite 100
4400 Teasley Lane #100
X
X
X
X
X
X
X
Compound Care Plus Pharmacy
1410 Highway 98 Unit G
Daphne
AL
866-832-2263
866-832-2264
X
X
X
Compound Pharmaceutical Technologies
1048 Stanton Road Suite B
Daphne
AL
251-626-2820
251-626-2850
X
X
X
Compounding Docs Inc
5499 N Federal Hwy Suite G
Boca Raton
FL
561-826-0711
561-826-0717
X
X
X
X
Comprehensive Wellness Pharmacy
2269 Wilma Rudolph Blvd. Suite 103
Clarksville
TN
(855) 806-6042
Conversio Health
720 Aerovista Place Suite D
San Luis Obispo
CA
(866) 239-3784 (800) 977-9255
X
X
Return to Instructions
Fax
330-375-5048
734-585-5184
TOP
HRT PED NAS STR SUP PTD
X
X
X
X
X
X
X
X
X
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X
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X
X
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X
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X
X
X
X
X
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X
X
X
X
X
X
X
X
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X
X
X
X
X
X
X
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X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
* Return to Menu
Please Note: You may not see a pharmacy near you (or even in your state of residence) listed, however the
NCCP pharmacies listed for each state are licensed to dispense and ship compound medications to that state.
Not all NCCP pharmacies participate in all networks.
Please verify the compound credentialed pharmacy participates in your Plan’s network.
10-24-2016
MASSACHUSETTS (MA) – Continued
Pharmacy Name
Address
City
State Phone
Fax
ITC Compounding & Natural Wellness Pharmacy
651 Topeka Way Ste 600
Castle Rock
CO
303-663-4224
303-663-4263
X
X
X
X
Jersey Shore Pharmacy
580 N Main Street
Barnegat
NJ
609-660-1111
609-660-0101
X
X
X
X
Johnson Compounding & Wellness
577 Main Street
Waltham
MA
781-893-3870
781-899-1172
X
X
X
X
X
Just In Time Pharmacy
96 Moore St.
Brooklyn
NY
718-218-6630
718-218-8046
X
Kare Pharmacy
136 Arnett Blvd
Danville
VA
(434) 792-8281 (434) 792-3235
X
X
X
X
X
Keystone Pharmacy
4021 Cascade Road SE
Grand Rapids
MI
616-974-9792
616-464-3469
X
X
X
X
Keystone Pharmacy, LLC
118 Weisenberger #400
Madison
MS
855-739-9948
855-221-0918
X
X
X
X
Kohana Pharmacy
181 Tank Farm Road Suite 120
San Luis Obispo
CA
805-542-0864
805-542-0867
X
X
X
X
X
X
La Vita Compounding Pharmacy
3978 Sorrento Valley Blvd #300
San Diego
CA
858-453-2500
858-453-2501
X
X
X
X
X
X
Ladd Family Pharmacy
1109 S. Broadway Ave
Boise
ID
208-947-0877
208-947-0874
X
X
X
X
X
X
X
Lake Side Pharmacy
10005 AL Hwy 9 N
Cedar Bluff
AL
256-422-5010
866-609-4582
X
X
X
Lee Silsby Compounding Pharmacy
3216 Silsby Rd
Cleveland Heights
OH
216-321-4300
216-321-4303
X
X
X
Louis & Clark Drug #102
300 Birnie Ave
Springfield
MA
413-736-5649
413-736-5099
X
X
X
Magnolia Specialty Pharmacy
163 Turtle Creek Drive Suite 130
Hattiesburg
MS
877-871-3935
888-990-0575
X
X
X
X
X
MasterPharm
115-02 Liberty Avenue
Richmond Hill
NY
718-529-5500
718-529-2780
X
X
X
McMahan Pharmacy Services Inc
1503 West Front Street
Goldthwaite
TX
325-648-2484
325-648-3417
X
X
X
X
X
MD Compounding Pharmacy
721 Boardman-Canfield Rd
Boardman
OH
330-726-6337
855-301-8645
X
X
X
X
X
Medaus Pharmacy
6801 Cahaba Valley Rd Suite 116
Birmingham
AL
(205) 981-2352 (205) 981-2767
X
X
X
Medical Center Pharmacy
912 S. 16th Street
Wilmington
NC
910-763-1896
910-763-1709
X
X
X
Medicap Pharmacy
956 J. Clyde Morris Blvd
Newport News
VA
757-599-9643
757-599-9647
X
Medscript Pharmacy
14400 John Humphery Drive Ste 110
Orland Park
IL
708-460-4930
708-460-4932
X
Medtown Rx
Burbank
Houston
CA
TX
(818) 500-0079 (818) 500-0225
713-523-7847 713-524-5024
X
X
Memorial Compounding Pharmacy
4128 W. Burbank Blvd
2918 San Jacinto Street
X
X
Millers Compounding Pharmacy
678 Wyckoff Avenue
Wyckoff
NJ
888-891-3334
X
X
Modern Medicine Rx
33-41 Newark St Suite 2b
Hoboken
NJ
(201) 420-9000 (201) 420-4040
X
X
Mt. Olympus Compounding, LLC
392 E 12300 S Suite A
Draper
UT
(801) 278-9008 (801) 849-0399
X
X
National Specialty Pharmacy LLC
2970 St. Rose Parkway #120
Henderson
NV
(702) 832-3320 (702) 425-9704
X
Nour Pharmacy
535 Getty Avenue #2
Clifton
NJ
973-955-4000
X
X
X
Oakdell Pharmacy
7220 Louis Pasteur, Ste 176
San Antonio
TX
(210) 614-6200 (210) 614-3848
X
X
X
X
Owens Healthcare #8
2025 Court Street Suite B
Redding
CA
530-244-8669
530-243-0687
X
X
X
X
Park Compounding
9257 Research Dr
Irvine
CA
949-551-7195
949-551-1950
X
X
X
X
Partell Specialty Pharmacy East
5835 S Eastern Ave Suite 101
Las Vegas
NV
702-791-3800
702-791-3630
X
X
X
X
Partell Specialty Pharmacy West
8751 W Charleston Blvd Suite 120
Las Vegas
NV
702-685-3800
702-685-3636
X
X
X
X
Patient Care America
5371 Hiatus Road
Sunrise
FL
954-473-4717
954-473-9519
Patterson Park Pharmacy
2245 Eastern ave
Baltimore
MD
(410) 675-6046 (410) 563-1147
Pentec Health, Inc.
4 Creek Parkway
Boothwyn
PA
800-223-4376
610-494-7328
X
Pentec Health, Inc.
120 Forbes Blvd Suite 140
Mansfield
MA
800-233-4376
610-494-7328
X
PerforMix Specialty Pharmacy
25 Pelham Rd
Salem
NH
603-870-9618
603-870-9621
X
Pharmacy Creations
540 Route 10 West
Randolph
NJ
973-328-8756
973-328-8731
X
Pharmacy Innovations
620 Congaree Road Suite F
Greenville
SC
864-241-0477
864-241-0843
X
Pharmacy Innovations
1030 Louetta Road Suite C
Houston
TX
281-251-0888
281-251-0889
X
Pharmacy Innovations
2936 W. 17th ST
Erie
PA
814-838-2102
814-838-2103
Pharmacy Innovations
863 Fairmount Ave
Jamestown
NY
716-484-1586
Pharmacy Innovations
4661 Haygood Road Suite 101
Virginia Beach
VA
Pharmacy Innovations
4000 Park St
St. Petersburg
Pharmacy Link
3648 Vann Road Building II Suite 116
Birmingham
Pharmacy Solutions
Pharmacy Specialists
5204 Jackson Road Suite C
393 Maitland Ave
Phusion Pharmacy
Pinnacle Compounding
866-891-3334
973-955-4009
TOP
HRT PED NAS STR SUP PTD
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
716-488-0073
X
X
X
X
X
X
X
757-934-0533
757-228-3991
X
X
X
X
X
FL
727-381-0700
727-347-2050
X
X
X
X
AL
866-332-6966
866-374-4761
X
X
X
X
X
Ann Arbor
Altamonte Springs
MI
FL
(734) 821-8000 (734) 821-8001
407-260-7002 407-260-7044
X
X
X
X
X
X
X
X
X
17 Coventry Shoppers Park
Coventry
RI
401-823-0000
X
X
X
X
1120 Kensington Ave. Ste. E
Missoula
MT
(406) 541-6121 (406) 541-6267
X
X
Potter's House Apothecary
21753 N. 77th Ave #1100
Peoria
AZ
623-362-9322
623-362-9001
X
X
X
X
Precision Compounding Pharmacy
2113 State Street
New Albany
IN
812-941-9300
812-941-9417
X
X
X
X
PrecisionRx
405 Waymont ct #101
Lake Mary
FL
(407) 322-2440 (407) 322-2470
X
X
Return to Instructions
401-823-0300
X
X
X
X
X
X
X
X
X
X
X
X
X
X
* Return to Menu
Please Note: You may not see a pharmacy near you (or even in your state of residence) listed, however the
NCCP pharmacies listed for each state are licensed to dispense and ship compound medications to that state.
Not all NCCP pharmacies participate in all networks.
Please verify the compound credentialed pharmacy participates in your Plan’s network.
10-24-2016
MASSACHUSETTS (MA) – Continued
Pharmacy Name
Address
City
State Phone
Fax
ITC Compounding & Natural Wellness Pharmacy
651 Topeka Way Ste 600
Castle Rock
CO
303-663-4224
303-663-4263
X
X
X
X
Jersey Shore Pharmacy
580 N Main Street
Barnegat
NJ
609-660-1111
609-660-0101
X
X
X
X
Johnson Compounding & Wellness
577 Main Street
Waltham
MA
781-893-3870
781-899-1172
X
X
X
X
X
Just In Time Pharmacy
96 Moore St.
Brooklyn
NY
718-218-6630
718-218-8046
X
Kare Pharmacy
136 Arnett Blvd
Danville
VA
(434) 792-8281 (434) 792-3235
X
X
X
X
X
Keystone Pharmacy
4021 Cascade Road SE
Grand Rapids
MI
616-974-9792
616-464-3469
X
X
X
X
Keystone Pharmacy, LLC
118 Weisenberger #400
Madison
MS
855-739-9948
855-221-0918
X
X
X
X
Kohana Pharmacy
181 Tank Farm Road Suite 120
San Luis Obispo
CA
805-542-0864
805-542-0867
X
X
X
X
X
X
La Vita Compounding Pharmacy
3978 Sorrento Valley Blvd #300
San Diego
CA
858-453-2500
858-453-2501
X
X
X
X
X
X
Ladd Family Pharmacy
1109 S. Broadway Ave
Boise
ID
208-947-0877
208-947-0874
X
X
X
X
X
X
X
Lake Side Pharmacy
10005 AL Hwy 9 N
Cedar Bluff
AL
256-422-5010
866-609-4582
X
X
X
Lee Silsby Compounding Pharmacy
3216 Silsby Rd
Cleveland Heights
OH
216-321-4300
216-321-4303
X
X
X
Louis & Clark Drug #102
300 Birnie Ave
Springfield
MA
413-736-5649
413-736-5099
X
X
X
Magnolia Specialty Pharmacy
163 Turtle Creek Drive Suite 130
Hattiesburg
MS
877-871-3935
888-990-0575
X
X
X
X
X
MasterPharm
115-02 Liberty Avenue
Richmond Hill
NY
718-529-5500
718-529-2780
X
X
X
McMahan Pharmacy Services Inc
1503 West Front Street
Goldthwaite
TX
325-648-2484
325-648-3417
X
X
X
X
X
MD Compounding Pharmacy
721 Boardman-Canfield Rd
Boardman
OH
330-726-6337
855-301-8645
X
X
X
X
X
Medaus Pharmacy
6801 Cahaba Valley Rd Suite 116
Birmingham
AL
(205) 981-2352 (205) 981-2767
X
X
X
Medical Center Pharmacy
912 S. 16th Street
Wilmington
NC
910-763-1896
910-763-1709
X
X
X
Medicap Pharmacy
956 J. Clyde Morris Blvd
Newport News
VA
757-599-9643
757-599-9647
X
Medscript Pharmacy
14400 John Humphery Drive Ste 110
Orland Park
IL
708-460-4930
708-460-4932
X
Medtown Rx
Burbank
Houston
CA
TX
(818) 500-0079 (818) 500-0225
713-523-7847 713-524-5024
X
X
Memorial Compounding Pharmacy
4128 W. Burbank Blvd
2918 San Jacinto Street
X
X
Millers Compounding Pharmacy
678 Wyckoff Avenue
Wyckoff
NJ
888-891-3334
X
X
Modern Medicine Rx
33-41 Newark St Suite 2b
Hoboken
NJ
(201) 420-9000 (201) 420-4040
X
X
Mt. Olympus Compounding, LLC
392 E 12300 S Suite A
Draper
UT
(801) 278-9008 (801) 849-0399
X
X
National Specialty Pharmacy LLC
2970 St. Rose Parkway #120
Henderson
NV
(702) 832-3320 (702) 425-9704
X
Nour Pharmacy
535 Getty Avenue #2
Clifton
NJ
973-955-4000
X
X
X
Oakdell Pharmacy
7220 Louis Pasteur, Ste 176
San Antonio
TX
(210) 614-6200 (210) 614-3848
X
X
X
X
Owens Healthcare #8
2025 Court Street Suite B
Redding
CA
530-244-8669
530-243-0687
X
X
X
X
Park Compounding
9257 Research Dr
Irvine
CA
949-551-7195
949-551-1950
X
X
X
X
Partell Specialty Pharmacy East
5835 S Eastern Ave Suite 101
Las Vegas
NV
702-791-3800
702-791-3630
X
X
X
X
Partell Specialty Pharmacy West
8751 W Charleston Blvd Suite 120
Las Vegas
NV
702-685-3800
702-685-3636
X
X
X
X
Patient Care America
5371 Hiatus Road
Sunrise
FL
954-473-4717
954-473-9519
Patterson Park Pharmacy
2245 Eastern ave
Baltimore
MD
(410) 675-6046 (410) 563-1147
Pentec Health, Inc.
4 Creek Parkway
Boothwyn
PA
800-223-4376
610-494-7328
X
Pentec Health, Inc.
120 Forbes Blvd Suite 140
Mansfield
MA
800-233-4376
610-494-7328
X
PerforMix Specialty Pharmacy
25 Pelham Rd
Salem
NH
603-870-9618
603-870-9621
X
Pharmacy Creations
540 Route 10 West
Randolph
NJ
973-328-8756
973-328-8731
X
Pharmacy Innovations
620 Congaree Road Suite F
Greenville
SC
864-241-0477
864-241-0843
X
Pharmacy Innovations
1030 Louetta Road Suite C
Houston
TX
281-251-0888
281-251-0889
X
Pharmacy Innovations
2936 W. 17th ST
Erie
PA
814-838-2102
814-838-2103
Pharmacy Innovations
863 Fairmount Ave
Jamestown
NY
716-484-1586
Pharmacy Innovations
4661 Haygood Road Suite 101
Virginia Beach
VA
Pharmacy Innovations
4000 Park St
St. Petersburg
Pharmacy Link
3648 Vann Road Building II Suite 116
Birmingham
Pharmacy Solutions
Pharmacy Specialists
5204 Jackson Road Suite C
393 Maitland Ave
Phusion Pharmacy
Pinnacle Compounding
866-891-3334
973-955-4009
TOP
HRT PED NAS STR SUP PTD
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X
X
X
X
X
716-488-0073
X
X
X
X
X
X
X
757-934-0533
757-228-3991
X
X
X
X
X
FL
727-381-0700
727-347-2050
X
X
X
X
AL
866-332-6966
866-374-4761
X
X
X
X
X
Ann Arbor
Altamonte Springs
MI
FL
(734) 821-8000 (734) 821-8001
407-260-7002 407-260-7044
X
X
X
X
X
X
X
X
X
17 Coventry Shoppers Park
Coventry
RI
401-823-0000
X
X
X
X
1120 Kensington Ave. Ste. E
Missoula
MT
(406) 541-6121 (406) 541-6267
X
X
Potter's House Apothecary
21753 N. 77th Ave #1100
Peoria
AZ
623-362-9322
623-362-9001
X
X
X
X
Precision Compounding Pharmacy
2113 State Street
New Albany
IN
812-941-9300
812-941-9417
X
X
X
X
PrecisionRx
405 Waymont ct #101
Lake Mary
FL
(407) 322-2440 (407) 322-2470
X
X
Return to Instructions
401-823-0300
X
X
X
X
X
X
X
X
X
X
X
X
X
X
* Return to Menu
Please Note: You may not see a pharmacy near you (or even in your state of residence) listed, however the
NCCP pharmacies listed for each state are licensed to dispense and ship compound medications to that state.
Not all NCCP pharmacies participate in all networks.
Please verify the compound credentialed pharmacy participates in your Plan’s network.
10-24-2016
MASSACHUSETTS (MA) – Continued
Pharmacy Name
Address
City
Premier Custom Pharmacy
2000 PGA Blvd. Ste. 5507
Palm Beach Gardens FL
State Phone
561-691-4998
Fax
561-691-4998
X
X
Premier Pharmacy Inc.
109 Jack White Dr
Kingsport
TN
423-245-1022
423-245-6391
X
X
Procare Pharmacy
1084 Lee Rd, Suite 4
Orlando
FL
(407) 730-2770 (407) 730-2764
X
X
X
X
ProCompounding Pharmacy
527 N. State of Franklin Rd. Suite 2
Johnson City
TN
(423) 975-0597 (423) 975-6304
X
X
X
X
Professional Arts Pharmacy
128 Curran Lane
Lafayette
LA
337-991-0101
337-991-0151
X
X
X
X
X
Professional Compounding Pharmacists
111 2nd Street Suite 100
Leechburg
PA
877-883-9300
877-883-9301
X
X
X
X
X
Professional Pharmacy
2001 North Airport Road
Jasper
AL
205-221-4564
205-221-4555
X
X
X
X
PROMED PHARMACY
537 East Meadow Ave
East Meadow
NY
516-307-9200
516-307-9191
X
X
X
X
Pure Health Pharmacy
8014 18th Ave
Brooklyn
NY
718-236-2747
718-236-2723
X
Pyramids Pharmacy
1201 Dairy Ashford Road Suite 114
Houston
TX
281-589-2400
281-589-2405
X
X
X
X
Pyramids Pharmacy Webster
500 N Kobayashi Road Suite E
Webster
TX
281-724-0531
281-724-0535
X
X
X
X
X
X
ReadyScrip Advanced Pharma
201 Route 17 North, 11th floor
Rutherford
NJ
(201) 549-8895 (201) 549-8878
X
X
X
X
X
X
Red River Pharmacy Services Inc
1327 College Drive
Texarkana
TX
(903) 792-7435 (903) 793-0485
X
X
X
X
Redi Pharmacy
250 West Route 59 Suite 5
Nanuet
NY
(845) 507-0630 (845) 507-0631
X
X
X
X
X
RepublicRx Specialty Pharmacy
1862 W. Bitters Rd Ste. 100
San Antonio
TX
210-718-0300
210-255-1461
X
X
X
X
X
Richie's Specialty Pharmacy
12820 Highway 105 W
Conroe
TX
936-588-6337
936-588-2232
X
Riverpoint Pharmacy
528 E Spokane Fall Blvd #110
Spokane
WA
509-343-6252
509-343-6251
X
X
X
Rock Valley Compounding Pharmacy
811 S. Perryville Rd Unit 109
Rockford
IL
(779) 423-0542 (815) 977-3077
X
X
X
X
RoxSan Pharmacy
465 N. Roxbury Dr. Ground Floor
Beverly Hills
CA
(310) 273-1644 (310) 276-4152
X
X
X
X
X
X
X
Rustburg Family Pharmacy
925 Village Hwy Ste 2
Rustburg
VA
434-332-1730
434-332-1736
X
X
X
X
X
X
X
Rx3 Compounding Pharmacy
12230 Ironbridge Rd Suite C
Chester
VA
804-717-5000
804-717-8300
X
X
X
X
X
X
X
San Ramon Custom Care Pharmacy
124 Market Place
San Ramon
CA
(925) 830-0555 (925) 830-0450
X
X
X
X
X
X
Scriptworks Pharmacy
480 N Wiget Lane
Walnut Creek
CA
925-934-4400
925-934-4442
X
X
X
X
X
X
Sierra Compounding Pharmacy
Reno
Jacksonville
NV
FL
775-853-3500
904-361-3861
775-853-3501
904-361-3866
X
X
X
X
Smart Pharmacy
9738 S. Virginia Street #G
3740 St. Johns Bluff Road #19
X
X
X
X
X
Smart Pharmacy
14003 Beach Blvd
Jacksonville
FL
904-503-5030
904-361-3866
X
X
X
X
X
Sobe Compounding Apothecary
13150 SW 134 St
Miami
FL
305-969-5410
305-969-5453
X
X
X
X
Solutions Pharmacy
8825 Bee Cave Rd Suite A
11420 W. Huguenot Road
Austin
Midlothian
TX
VA
(512) 382-9381 (512) 532-6689
804-897-6447 804-897-6449
X
X
X
X
X
X
South River Compounding Pharmacy
X
X
X
X
X
X
South River Compounding Pharmacy
3656 Mayland Court
Richmond
VA
804-897-6447
X
X
X
X
X
X
Specialty Chemist Corp.
65-60 Fresh Meadow Lane
Fresh Meadows
NY
(718) 353-2595 (718) 886-8658
X
X
St. Louis Hills Pharmacy
4365 Chippewa St Suite 100
St. Louis
MO
(314) 832-2480 (314) 832-2498
X
X
X
X
X
Stark Pharmacy
5701 W 119th Street
Overland Park
KS
913-345-3800
913-345-3803
X
X
X
X
X
X
X
Stonegate Pharmacy
2501 W. William Cannon Suite 203
Austin
TX
512-707-2300
512-707-2378
X
X
X
X
X
X
X
Stonegate Pharmacy at the Village
5625 Eiger Rd Suite 250
Austin
TX
(512) 693-4222 (512) 487-5311
X
X
X
X
Stonegate Pharmacy on Broadway
2515 Broadway
San Antonio
TX
(210) 354-0101 (210) 354-0404
X
X
X
X
Sugar Land Compounding Pharmacy
14823 Southwest Freeway, Suite B
Sugar Land
TX
(281) 302-6080 (281) 302-8259
X
X
X
X
X
Sunquest Pharmaceuticals
150 Eileen Way Suite 1
Syosset
NY
516-513-0799
X
X
X
X
X
Tarrytown Pharmacy
2727 Exposition Blvd #105
Austin
TX
X
X
X
X
X
6136 E 51st Street
Tulsa
OK
(512) 478-6419 (512) 478-1638
918-665-2003 918-665-8283
X
The Apothecary Shoppe (Tulsa)
X
X
X
X
X
X
X
The Apothecary Shoppe of BA
510 N Elm Place
Broken Arrow
OK
918-449-9988
918-449-9989
X
X
X
X
X
X
X
The Compounding Center
Leesburg
Birmingham
VA
AL
703-779-3301
205-870-3150
703-443-2283
855-862-0446
X
X
X
X
X
X
X
The Compounding Shoppe
36 Catoctin Circle Southeast
3349 Independence Drive Suite 102
X
X
X
X
The Daily Dose Pharmacy
4534 West Gate Blvd Ste #111
Austin
TX
(512) 334-9697 (572) 334-9698
X
X
The Honolulu Pharmacy
1188 Bishop St #2303
Honolulu
HI
808-533-8887
808-533-1888
X
X
The Pill Box Pharmacy
2422 Danville Rd SW Suite J
Decatur
AL
256-353-1121
256-353-1790
X
X
X
The Wellness Center Pharmacy & Surgical
3117 U.S. 9
Old Bridge
NJ
732-679-3555
732-679-6797
X
X
X
Topical Solutions Pharmacy
20612 N. Cave Creek Rd. #150
Phoenix
AZ
(480) 351-8278 (480) 351-8277
X
TPS
3524 Decatur Highway Suite 302
Fultondale
AL
205-608-4995
205-608-2718
X
Transdermal Therapeutics, Inc.
211 Summit Pkwy Suite 124
Homewood
AL
877-581-5445
877-495-5445
X
Trinity Medical Pharmacy
9332 State Road 54 Suite 203
New Port Richey
FL
727-495-6979
727-213-6979
X
X
X
X
Triumph Pharmacy
6875 FM 1488 Road Suite 300
Magnolia
TX
281-252-4200
281-252-4201
X
X
X
X
V.L.S. Pharmacy, Inc.
4402 5th Avenue
Brooklyn
NY
(718) 854-1384 (718) 854-4313
X
X
X
Valley Prescription and Compounding Pharmacy
330 E. 13th St
Merced
CA
209-722-5765
X
X
X
Vasco Rx Specialty Pharmacy
4045 E Bell Rd Suite 163
Phoenix
AZ
(602) 971-6950 (602) 404-2504
X
X
Vernak Farms Country Store and Pharmacy
1889 East Lake Road
Skaneateles
NY
315-673-9327
315-673-9896
X
Village Pharmacy
898 Tanager Street
Incline Village
NV
775-831-1133
775-831-2228
Vital Care of Meridian
1501 23rd Ave
Meridian
MS
800-652-6157
Volunteer Pharmacy
2403 US Highway 411 South
Maryville
TN
Westchase Compounding Pharmacy
12617 Race Track Road
Tampa
Woodland Hills Pharmacy
20361 Ventura Blvd ste 305
Xpress Compounding
1000 W. Weatherford St Suite 120
804-967-6449
516-677-6050
TOP
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(865) 724-1453 (865) 724-1601
X
X
X
FL
813-925-8200
X
X
X
X
X
X
Woodland Hills
CA
(855) 876-3060 (866) 893-9320
X
X
X
X
Fort Worth
TX
844-977-3770
X
X
X
X
Return to Instructions
209-722-3296
813-925-8933
817-887-5545
X
X
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X
* Return to Menu
Please Note: You may not see a pharmacy near you (or even in your state of residence) listed, however the
NCCP pharmacies listed for each state are licensed to dispense and ship compound medications to that state.
Not all NCCP pharmacies participate in all networks.
Please verify the compound credentialed pharmacy participates in your Plan’s network.
10-24-2016
MICHIGAN (MI)
Pharmacy Name
Address
City
State Phone
Fax
Acton Pharmacy Inc
563 Massachusetts Ave
Acton
MA
978-263-3901
978-263-3901
Advanced Infusion Solutions
623 Highland Colony Parkway Suite 100
Ridgeland
MS
877-443-4006
888-298-2220
America's Best Care Plus, Inc
1825 Everett Drive W.
Fort Payne
AL
800-638-6305
800-638-0294
X
X
X
America's Compounding Center
153 California St.
Newton
MA
617-527-1563
617-527-1565
X
X
X
Anderson Compounding Pharmacy
310 Bluff City Highway
Bristol
TN
423-764-4136
423-764-5167
X
X
X
Ashland Health
12 N. Catherine Ave
La Grange
IL
708-482-4000
708-482-4004
X
Assured Rx
13555 Automobile Blvd Suite 230
Clearwater
FL
727-451-6815
888-209-4962
X
Athena Pharmacy
2025 N. Mt. Julliet Rd. Suite 100
Mt Juliet
TN
615-288-4037
615-288-4061
X
X
X
X
Avella of Deer Valley, Inc.
23620 N 20th Drive Suite 12
Phoenix
AZ
877-792-7684
866-792-7684
X
X
X
X
BioMed Specialty Pharmacy
7731 Cox Lane
West Chester
OH
513-847-1260
513-847-1506
X
X
X
X
Boothwyn Pharmacy
2341 Chichester Ave
Boothwyn
PA
610-485-1130
610-485-9223
X
X
X
Buderer Drug Company
26611 N. Dixie Highway Suite 119
Perrysburg
OH
419-873-2800
419-873-0494
X
X
X
X
X
X
X
Buderer Drug Company
633 Hancock Street
Sandusky
OH
419-627-2800
419-626-0494
X
X
X
X
X
X
X
Cadila Pharmacy
23832 Southfield Rd
Southfield
MI
(248) 557-9333 (248) 557-4970
X
Central Rexall Drugs, Inc
125 E. Thomas Street
Hammond
LA
985-345-5120
985-345-5178
X
X
X
X
X
X
Century Pharmacy LLC
37 W. Century Rd Suite 113
Paramus
NJ
201-261-6479
201-261-9479
X
Clark Professional Pharmacy
3280 Washtenaw Ave
Ann Arbor
MI
734-369-8782
734-585-5184
X
X
X
Compound Care Plus Pharmacy
1410 Highway 98 Unit G
Daphne
AL
866-832-2263
866-832-2264
X
X
X
Conversio Health
720 Aerovista Place Suite D
San Luis Obispo
CA
(866) 239-3784 (800) 977-9255
Custom Meds, Inc.
102 E Highland Blvd
Inverness
FL
352-341-1212
352-341-2626
X
X
Custom Pharmacy Solutions
2637 Valleydale Rd.
Birmingham
AL
866-988-3383
866-988-3553
X
X
DermaTran Health Solutions
2700 Stanley Gault Pkwy, Ste 103
Louisville
KY
855-675-5240
844-265-1995
X
DermaTran Health Solutions
85 Technology Pkwy NW
Rome
GA
855-675-5240
844-265-1995
X
Diabetes Corporation of America
4701 Trousdale Drive
Nashville
TN
877-730-5770
877-327-9174
X
X
X
Eastern States Compounding Pharmacy
338 Union Street
Littleton
NH
603-444-0094
603-444-0095
X
X
X
X
X
Essential Pharmacy Compounding
620 N 114 Street
Omaha
NE
402-408-0015
402-408-0020
X
X
X
X
X
X
Foothills Professional Pharmacy
4545 E. Chandler #100
Phoenix
AZ
480-496-4444
480-496-4450
X
X
Fort Wayne Custom Rx Inc
425 E Dupont Road
Fort Wayne
IN
260-490-3447
260-490-3457
X
X
X
X
X
Foundation Care, LLC
4010 Wedgeway Court
Earth City
MO
314-291-1122
314-291-1133
X
X
X
Health Dimensions, Inc
39303 Country Club Drive A26
Farmington Hills
MI
800-836-2303
248-489-1586
X
X
X
X
X
Healthway Compounding Pharmacy
2544 McLeod Dr. Suite #12
Saginaw
MI
989-791-1691
989-791-4603
X
X
X
X
X
Heritage Compounding Pharmacy
11 Midtown Park East
Mobile
AL
251-472-0814
251-472-0864
X
X
X
X
Hopewell Pharmacy
Hopewell
Tampa
NJ
FL
609-466-1960
813-839-8861
609-466-8222
813-839-8941
X
X
X
X
X
X
Hoye's Pharmacy
1 West Borad Street
4330 South Manhattan Avenue
X
X
X
X
X
X
Imprimis Rx
780 Primos Ave Unit E
Folcroft
PA
(888) 824-8100 (866) 302-7625
Infinity Compounding Solutions
1204 SE 28th Street Suite 2
Bentonville
AR
888-414-5805
855-422-2400
X
X
X
Innovation Compounding Inc
6095 Pine Mountain Road NW suite 108
Kennesaw
GA
770-421-1399
770-426-1965
X
X
X
X
X
Inverness Apothecary Trinity
24333 Gordon Terry Parkway Suite B
Trinity
AL
256-260-3350
256-260-3351
X
X
X
X
ITC Compounding & Natural Wellness Pharmacy
651 Topeka Way Ste 600
Castle Rock
CO
303-663-4224
303-663-4263
X
X
X
X
Keystone Pharmacy
4021 Cascade Road SE
Grand Rapids
MI
616-974-9792
616-464-3469
X
X
X
X
Kohana Pharmacy
181 Tank Farm Road Suite 120
San Luis Obispo
CA
805-542-0864
805-542-0867
X
X
X
X
Lee Silsby Compounding Pharmacy
3216 Silsby Rd
Cleveland Heights OH
216-321-4300
216-321-4303
X
X
X
MasterPharm
115-02 Liberty Avenue
Richmond Hill
NY
718-529-5500
718-529-2780
X
X
Medaus Pharmacy
6801 Cahaba Valley Rd Suite 116
Birmingham
AL
(205) 981-2352 (205) 981-2767
X
X
X
Medscript Pharmacy
14400 John Humphery Drive Ste 110
Orland Park
IL
708-460-4930
708-460-4932
X
Millers Compounding Pharmacy
678 Wyckoff Avenue
Wyckoff
NJ
888-891-3334
866-891-3334
X
X
X
Return to Instructions
TOP
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X
* Return to Menu
Please Note: You may not see a pharmacy near you (or even in your state of residence) listed, however the
NCCP pharmacies listed for each state are licensed to dispense and ship compound medications to that state.
Not all NCCP pharmacies participate in all networks.
Please verify the compound credentialed pharmacy participates in your Plan’s network.
10-24-2016
MICHIGAN (MI) – Continued
Pharmacy Name
Address
City
State Phone
Fax
Park Compounding
9257 Research Dr
Irvine
CA
949-551-7195
949-551-1950
TOP
Patient Care America
5371 Hiatus Road
Sunrise
FL
954-473-4717
954-473-9519
X
X
Pentec Health, Inc.
4 Creek Parkway
Boothwyn
PA
800-223-4376
610-494-7328
X
X
Pharmacy Creations
540 Route 10 West
Randolph
NJ
973-328-8756
973-328-8731
X
Pharmacy Innovations
2936 W. 17th ST
Erie
PA
814-838-2102
814-838-2103
X
Pharmacy Solutions
5204 Jackson Road Suite C
Ann Arbor
MI
(734) 821-8000 (734) 821-8001
X
Phusion Pharmacy
17 Coventry Shoppers Park
Coventry
RI
401-823-0000
401-823-0300
Pyramids Pharmacy
1201 Dairy Ashford Road Suite 114
Houston
TX
281-589-2400
281-589-2405
RoxSan Pharmacy
465 N. Roxbury Dr. Ground Floor
Beverly Hills
CA
Sobe Compounding Apothecary
13150 SW 134 St
Miami
St. Louis Hills Pharmacy
4365 Chippewa St Suite 100
TPS
3524 Decatur Highway Suite 302
Vasco Rx Specialty Pharmacy
Woodland Hills Pharmacy
X
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X
X
X
X
X
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X
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X
(310) 273-1644 (310) 276-4152
X
X
X
FL
305-969-5410
X
X
X
St. Louis
MO
(314) 832-2480 (314) 832-2498
X
X
X
Fultondale
AL
205-608-4995
X
4045 E Bell Rd Suite 163
Phoenix
AZ
(602) 971-6950 (602) 404-2504
X
X
X
X
20361 Ventura Blvd ste 305
Woodland Hills
CA
(855) 876-3060 (866) 893-9320
X
X
X
X
Return to Instructions
305-969-5453
205-608-2718
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
* Return to Menu
Please Note: You may not see a pharmacy near you (or even in your state of residence) listed, however the
NCCP pharmacies listed for each state are licensed to dispense and ship compound medications to that state.
Not all NCCP pharmacies participate in all networks.
Please verify the compound credentialed pharmacy participates in your Plan’s network.
10-24-2016
MINNESOTA (MN)
Pharmacy Name
Address
City
State Phone
Access Compounding Pharmacy
1450 Emerson Ave. #110
McLean
VA
(571) 488-6620 (571) 488-6621
Advanced Infusion Solutions
623 Highland Colony Parkway Suite 100
Ridgeland
MS
877-443-4006
888-298-2220
America's Best Care Plus, Inc
1825 Everett Drive W.
Fort Payne
AL
800-638-6305
800-638-0294
X
X
X
America's Compounding Center
153 California St.
Newton
MA
617-527-1563
617-527-1565
X
X
X
Anderson Compounding Pharmacy
310 Bluff City Highway
Bristol
TN
423-764-4136
423-764-5167
X
X
X
Ashland Health
12 N. Catherine Ave
La Grange
IL
708-482-4000
708-482-4004
X
Assured Rx
13555 Automobile Blvd Suite 230
Clearwater
FL
727-451-6815
888-209-4962
X
Athena Pharmacy
2025 N. Mt. Julliet Rd. Suite 100
Mt Juliet
TN
615-288-4037
615-288-4061
X
X
X
X
Avella of Deer Valley, Inc.
23620 N 20th Drive Suite 12
Phoenix
AZ
877-792-7684
866-792-7684
X
X
X
X
X
Buderer Drug Company
633 Hancock Street
Sandusky
OH
419-627-2800
419-626-0494
X
X
X
X
X
Central Avenue Pharmacy, Inc
133 Fifteenth Street
Pacific Grove
CA
831-373-1225
831-373-3705
X
X
X
X
Central Rexall Drugs, Inc
125 E. Thomas Street
Hammond
LA
985-345-5120
985-345-5178
X
X
X
X
Century Pharmacy LLC
37 W. Century Rd Suite 113
Paramus
NJ
201-261-6479
201-261-9479
X
Compound Care Plus Pharmacy
1410 Highway 98 Unit G
Daphne
AL
866-832-2263
866-832-2264
X
X
X
Compound Pharmaceutical Technologies
1048 Stanton Road Suite B
Daphne
AL
251-626-2820
251-626-2850
X
X
X
Conversio Health
720 Aerovista Place Suite D
San Luis Obispo
CA
(866) 239-3784 (800) 977-9255
Curexa
3007 Ocean Heights Ave
Egg Harbor Township NJ
609-927-0390
609-927-0392
X
X
Custom Meds, Inc.
102 E Highland Blvd
Inverness
FL
352-341-1212
352-341-2626
X
X
Custom Pharmacy Solutions
Birmingham
Wichita
AL
KS
866-988-3383
316-721-2626
866-988-3553
316-721-4823
X
X
X
X
Custom Rx Pharmacy & Wellness Concepts
2637 Valleydale Rd.
3510 N Ridge Road Suite 900
X
X
X
X
DermaTran Health Solutions
2700 Stanley Gault Pkwy, Ste 103
Louisville
KY
855-675-5240
844-265-1995
X
DermaTran Health Solutions
85 Technology Pkwy NW
Rome
GA
855-675-5240
844-265-1995
X
Diabetes Corporation of America
4701 Trousdale Drive
Nashville
TN
877-730-5770
877-327-9174
X
X
X
Eastern States Compounding Pharmacy
338 Union Street
Littleton
NH
603-444-0094
603-444-0095
X
X
X
X
X
Essential Pharmacy Compounding
620 N 114 Street
Omaha
NE
402-408-0015
402-408-0020
X
X
X
X
X
Foothills Professional Pharmacy
4545 E. Chandler #100
Phoenix
AZ
480-496-4444
480-496-4450
X
X
Foundation Care, LLC
4010 Wedgeway Court
Earth City
MO
314-291-1122
314-291-1133
X
Fusion Rx Compounding Pharmacy
2001 Westwood Blvd. Suite A
Los Angeles
CA
(310) 204-6676 (310) 204-6678
X
X
X
X
Health Dimensions, Inc
39303 Country Club Drive A26
Farmington Hills
MI
800-836-2303
248-489-1586
X
X
X
X
Heritage Compounding Pharmacy
11 Midtown Park East
Mobile
AL
251-472-0814
251-472-0864
X
X
X
X
Hopewell Pharmacy
Hopewell
Tampa
NJ
FL
609-466-1960
813-839-8861
609-466-8222
813-839-8941
X
X
X
Hoye's Pharmacy
1 West Borad Street
4330 South Manhattan Avenue
X
X
X
Imprimis Rx
780 Primos Ave Unit E
Folcroft
PA
(888) 824-8100 (866) 302-7625
Infinity Compounding Solutions
1204 SE 28th Street Suite 2
Bentonville
AR
888-414-5805
855-422-2400
X
X
X
Innovation Compounding Inc
6095 Pine Mountain Road NW suite 108
Kennesaw
GA
770-421-1399
770-426-1965
X
X
X
Inverness Apothecary Trinity
Trinity
Murphy
AL
TX
256-260-3350
972-535-2020
256-260-3351
855-385-9990
X
X
X
X
Inverness Lone Star Pharmacy
24333 Gordon Terry Parkway Suite B
223 E. FM 544 Suite 806
X
X
X
X
ITC Compounding & Natural Wellness Pharmacy
651 Topeka Way Ste 600
Castle Rock
CO
303-663-4224
303-663-4263
X
X
X
X
Lake Side Pharmacy
10005 AL Hwy 9 N
Cedar Bluff
AL
256-422-5010
866-609-4582
X
Lee Silsby Compounding Pharmacy
3216 Silsby Rd
Cleveland Heights
OH
216-321-4300
216-321-4303
X
X
X
Magnolia Specialty Pharmacy
163 Turtle Creek Drive Suite 130
Hattiesburg
MS
877-871-3935
888-990-0575
X
X
X
MasterPharm
115-02 Liberty Avenue
Richmond Hill
NY
718-529-5500
718-529-2780
X
X
X
Medaus Pharmacy
6801 Cahaba Valley Rd Suite 116
Birmingham
AL
(205) 981-2352 (205) 981-2767
X
X
X
Millers Compounding Pharmacy
678 Wyckoff Avenue
Wyckoff
NJ
888-891-3334
X
X
X
X
X
X
X
National Specialty Pharmacy LLC
2970 St. Rose Parkway #120
Henderson
NV
(702) 832-3320 (702) 425-9704
X
Park Compounding
9257 Research Dr
Irvine
CA
949-551-7195
949-551-1950
X
X
X
X
X
X
X
Patient Care America
5371 Hiatus Road
Sunrise
FL
954-473-4717
954-473-9519
X
Pentec Health, Inc.
4 Creek Parkway
Boothwyn
PA
800-223-4376
610-494-7328
X
PerforMix Specialty Pharmacy
25 Pelham Rd
Salem
NH
603-870-9618
603-870-9621
X
Pharmacy Creations
540 Route 10 West
Randolph
NJ
973-328-8756
973-328-8731
X
Return to Instructions
Fax
866-891-3334
TOP
HRT PED NAS STR SUP PTD
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X
X
* Return to Menu
Please Note: You may not see a pharmacy near you (or even in your state of residence) listed, however the
NCCP pharmacies listed for each state are licensed to dispense and ship compound medications to that state.
Not all NCCP pharmacies participate in all networks.
Please verify the compound credentialed pharmacy participates in your Plan’s network.
10-24-2016
MINNESOTA (MN) – Continued
Pharmacy Name
Address
City
State Phone
Fax
Pharmacy Innovations
2936 W. 17th ST
Erie
PA
814-838-2102
814-838-2103
X
X
Pharmacy Innovations
4000 Park St
St. Petersburg
FL
727-381-0700
727-347-2050
X
X
Pharmacy Solutions
5204 Jackson Road Suite C
Ann Arbor
MI
(734) 821-8000 (734) 821-8001
X
X
X
Phusion Pharmacy
17 Coventry Shoppers Park
Coventry
RI
401-823-0000
X
X
X
X
ReadyScrip Advanced Pharma
201 Route 17 North, 11th floor
Rutherford
NJ
(201) 549-8895 (201) 549-8878
X
X
X
RepublicRx Specialty Pharmacy
1862 W. Bitters Rd Ste. 100
San Antonio
TX
210-718-0300
X
X
RoxSan Pharmacy
465 N. Roxbury Dr. Ground Floor
3740 St. Johns Bluff Road #19
Beverly Hills
Jacksonville
CA
FL
(310) 273-1644 (310) 276-4152
904-361-3861 904-361-3866
X
Smart Pharmacy
X
Specialty Chemist Corp.
65-60 Fresh Meadow Lane
Fresh Meadows
NY
(718) 353-2595 (718) 886-8658
X
X
Stark Pharmacy
5701 W 119th Street
Overland Park
KS
913-345-3800
X
X
Topical Solutions Pharmacy
20612 N. Cave Creek Rd. #150
Phoenix
AZ
(480) 351-8278 (480) 351-8277
X
TPS
3524 Decatur Highway Suite 302
Fultondale
AL
205-608-4995
205-608-2718
X
Transdermal Therapeutics, Inc.
211 Summit Pkwy Suite 124
Homewood
AL
877-581-5445
877-495-5445
X
Vasco Rx Specialty Pharmacy
4045 E Bell Rd Suite 163
Phoenix
AZ
(602) 971-6950 (602) 404-2504
X
X
X
X
X
X
X
Westchase Compounding Pharmacy
12617 Race Track Road
Tampa
FL
813-925-8200
X
X
X
X
X
X
X
Woodland Hills Pharmacy
20361 Ventura Blvd ste 305
Woodland Hills
CA
(855) 876-3060 (866) 893-9320
X
X
X
X
Xpress Compounding
1000 W. Weatherford St Suite 120
Fort Worth
TX
844-977-3770
X
X
X
X
Return to Instructions
401-823-0300
210-255-1461
913-345-3803
813-925-8933
817-887-5545
TOP
HRT PED NAS STR SUP PTD
X
X
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X
X
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X
X
X
* Return to Menu
Please Note: You may not see a pharmacy near you (or even in your state of residence) listed, however the
NCCP pharmacies listed for each state are licensed to dispense and ship compound medications to that state.
Not all NCCP pharmacies participate in all networks.
Please verify the compound credentialed pharmacy participates in your Plan’s network.
10-24-2016
MISSISSIPPI (MS)
Pharmacy Name
Address
City
State Phone
Fax
Advanced Infusion Solutions
623 Highland Colony Parkway Suite 100
Ridgeland
MS
877-443-4006
888-298-2220
Allcare Pharmacy and Healthcare Services
112 S. Oxley Drive
Lyons
GA
912-526-3200
912-526-5960
X
X
X
America's Best Care Plus, Inc
1825 Everett Drive W.
Fort Payne
AL
800-638-6305
800-638-0294
X
X
X
America's Compounding Center
153 California St.
Newton
MA
617-527-1563
617-527-1565
X
X
X
Anderson Compounding Pharmacy
310 Bluff City Highway
Bristol
TN
423-764-4136
423-764-5167
X
X
X
Assured Rx
13555 Automobile Blvd Suite 230
Clearwater
FL
727-451-6815
888-209-4962
X
Athena Pharmacy
2025 N. Mt. Julliet Rd. Suite 100
Mt Juliet
TN
615-288-4037
615-288-4061
X
X
Auxilium Specialty Apothecary Pharmacy
16 Keystone Drive Suite B
Hattiesburg
MS
877-847-4612
888-615-6578
X
X
Avella of Deer Valley, Inc.
23620 N 20th Drive Suite 12
Phoenix
AZ
877-792-7684
866-792-7684
X
X
X
X
Central Rexall Drugs, Inc
125 E. Thomas Street
Hammond
LA
985-345-5120
985-345-5178
X
X
X
X
Compound Care Plus Pharmacy
1410 Highway 98 Unit G
Daphne
AL
866-832-2263
866-832-2264
X
X
X
Compound Pharmaceutical Technologies
1048 Stanton Road Suite B
Daphne
AL
251-626-2820
251-626-2850
X
X
X
Comprehensive Wellness Pharmacy
2269 Wilma Rudolph Blvd. Suite 103
Clarksville
TN
(855) 806-6042
Conversio Health
720 Aerovista Place Suite D
San Luis Obispo
CA
(866) 239-3784 (800) 977-9255
Custom Meds, Inc.
102 E Highland Blvd
Inverness
FL
352-341-1212
352-341-2626
X
X
Custom Pharmacy Solutions
2637 Valleydale Rd.
Birmingham
AL
866-988-3383
866-988-3553
X
X
DermaTran Health Solutions
2700 Stanley Gault Pkwy, Ste 103
Louisville
KY
855-675-5240
844-265-1995
X
DermaTran Health Solutions
85 Technology Pkwy NW
Rome
GA
855-675-5240
844-265-1995
X
Diabetes Corporation of America
4701 Trousdale Drive
Nashville
TN
877-730-5770
877-327-9174
X
X
Doctor's Specialty Pharmacy
1720A Medical Park Drive
Biloxi
MS
(228) 207-7716 (228) 207-9598
X
X
Essential Pharmacy Compounding
620 N 114 Street
Omaha
NE
402-408-0015
402-408-0020
X
X
Foothills Professional Pharmacy
4545 E. Chandler #100
Phoenix
AZ
480-496-4444
480-496-4450
X
X
Foundation Care, LLC
4010 Wedgeway Court
Earth City
MO
314-291-1122
314-291-1133
X
Fountain Plaza Pharmacy
2825 W. Andrew Johnson Hwy
Morristown
TN
(423) 307-5757 (423) 307-5241
X
X
X
X
X
Heritage Compounding Pharmacy
11 Midtown Park East
Mobile
AL
251-472-0814
X
X
X
X
X
Imprimis Rx
780 Primos Ave Unit E
Folcroft
PA
(888) 824-8100 (866) 302-7625
Infinity Compounding Solutions
1204 SE 28th Street Suite 2
Bentonville
AR
888-414-5805
855-422-2400
X
X
X
Innovation Compounding Inc
6095 Pine Mountain Road NW suite 108
Kennesaw
GA
770-421-1399
770-426-1965
X
X
X
Inverness Apothecary South Texas Inc
5009 S McColl Rd Suite A
Edinburg
TX
956-467-0246
956-688-8967
X
X
X
X
X
Inverness Apothecary Trinity
24333 Gordon Terry Parkway Suite B
Trinity
AL
256-260-3350
256-260-3351
X
X
X
X
X
ITC Compounding & Natural Wellness Pharmacy
651 Topeka Way Ste 600
Castle Rock
CO
303-663-4224
303-663-4263
X
X
X
X
Keystone Pharmacy, LLC
118 Weisenberger #400
Madison
MS
855-739-9948
855-221-0918
X
X
X
X
Lake Side Pharmacy
10005 AL Hwy 9 N
Cedar Bluff
AL
256-422-5010
866-609-4582
X
Lee Silsby Compounding Pharmacy
3216 Silsby Rd
Cleveland Heights OH
216-321-4300
216-321-4303
X
X
Magnolia Specialty Pharmacy
163 Turtle Creek Drive Suite 130
Hattiesburg
MS
877-871-3935
888-990-0575
X
X
X
MasterPharm
115-02 Liberty Avenue
Richmond Hill
NY
718-529-5500
718-529-2780
X
X
X
Medaus Pharmacy
6801 Cahaba Valley Rd Suite 116
Birmingham
AL
(205) 981-2352 (205) 981-2767
X
X
X
Millers Compounding Pharmacy
678 Wyckoff Avenue
Wyckoff
NJ
888-891-3334
866-891-3334
X
X
X
X
X
X
X
Park Compounding
9257 Research Dr
Irvine
CA
949-551-7195
949-551-1950
X
X
X
X
X
X
X
Patient Care America
5371 Hiatus Road
Sunrise
FL
954-473-4717
954-473-9519
X
X
Pentec Health, Inc.
4 Creek Parkway
Boothwyn
PA
800-223-4376
610-494-7328
X
X
Pharmacy Creations
540 Route 10 West
Randolph
NJ
973-328-8756
973-328-8731
X
Pharmacy Innovations
2936 W. 17th ST
Erie
PA
814-838-2102
814-838-2103
X
X
Pharmacy Link
3648 Vann Road Building II Suite 116
Birmingham
AL
866-332-6966
866-374-4761
X
X
Pharmacy Solutions
5204 Jackson Road Suite C
Ann Arbor
MI
(734) 821-8000 (734) 821-8001
X
X
Pinnacle Compounding
1120 Kensington Ave. Ste. E
Missoula
MT
(406) 541-6121 (406) 541-6267
X
X
ProCompounding Pharmacy
527 N. State of Franklin Rd. Suite 2
Johnson City
TN
(423) 975-0597 (423) 975-6304
X
X
X
X
Professional Arts Pharmacy
128 Curran Lane
Lafayette
LA
337-991-0101
X
X
X
X
RoxSan Pharmacy
465 N. Roxbury Dr. Ground Floor
Beverly Hills
CA
(310) 273-1644 (310) 276-4152
X
X
X
X
Transdermal Therapeutics, Inc.
211 Summit Pkwy Suite 124
Homewood
AL
877-581-5445
877-495-5445
X
Trinity Medical Pharmacy
9332 State Road 54 Suite 203
New Port Richey
FL
727-495-6979
727-213-6979
X
X
X
X
Vasco Rx Specialty Pharmacy
4045 E Bell Rd Suite 163
Phoenix
AZ
(602) 971-6950 (602) 404-2504
X
X
X
X
Vital Care of Meridian
1501 23rd Ave
Meridian
MS
800-652-6157
X
X
X
X
Return to Instructions
TOP
HRT PED NAS STR SUP PTD
X
X
X
X
X
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337-991-0151
X
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251-472-0864
X
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X
* Return to Menu
Please Note: You may not see a pharmacy near you (or even in your state of residence) listed, however the
NCCP pharmacies listed for each state are licensed to dispense and ship compound medications to that state.
Not all NCCP pharmacies participate in all networks.
Please verify the compound credentialed pharmacy participates in your Plan’s network.
10-24-2016
MISSOURI (MO)
Pharmacy Name
Address
City
State Phone
Access Compounding Pharmacy
1450 Emerson Ave. #110
McLean
VA
(571) 488-6620 (571) 488-6621
Advanced Infusion Solutions
623 Highland Colony Parkway Suite 100
Ridgeland
MS
877-443-4006
888-298-2220
America's Best Care Plus, Inc
1825 Everett Drive W.
Fort Payne
AL
800-638-6305
800-638-0294
X
X
X
Anderson Compounding Pharmacy
310 Bluff City Highway
Bristol
TN
423-764-4136
423-764-5167
X
X
X
Ashland Health
12 N. Catherine Ave
La Grange
IL
708-482-4000
708-482-4004
X
Assured Rx
13555 Automobile Blvd Suite 230
Clearwater
FL
727-451-6815
888-209-4962
X
Athena Pharmacy
2025 N. Mt. Julliet Rd. Suite 100
Mt Juliet
TN
615-288-4037
615-288-4061
X
X
Auxilium Specialty Apothecary Pharmacy
16 Keystone Drive Suite B
Hattiesburg
MS
877-847-4612
888-615-6578
X
X
Avella of Deer Valley, Inc.
23620 N 20th Drive Suite 12
Phoenix
AZ
877-792-7684
866-792-7684
X
X
X
X
Bradley Drugs
6900 Arlington Road
Bethesda
MD
(301) 654-6776 (301) 657-9361
X
X
X
X
Central Avenue Pharmacy, Inc
133 Fifteenth Street
Pacific Grove
CA
831-373-1225
831-373-3705
X
X
X
X
Central Rexall Drugs, Inc
125 E. Thomas Street
Hammond
LA
985-345-5120
985-345-5178
X
X
X
X
Century Pharmacy LLC
37 W. Century Rd Suite 113
Paramus
NJ
201-261-6479
201-261-9479
X
Chemistry Rx
829 Spruce Street Suite 100
Philadelphia
PA
855-790-0100
267-861-0862
X
X
X
Compounding Docs Inc
5499 N Federal Hwy Suite G
Boca Raton
FL
561-826-0711
561-826-0717
X
X
X
X
Comprehensive Wellness Pharmacy
2269 Wilma Rudolph Blvd. Suite 103
Clarksville
TN
(855) 806-6042
Conversio Health
720 Aerovista Place Suite D
San Luis Obispo
CA
(866) 239-3784 (800) 977-9255
X
X
Curexa
3007 Ocean Heights Ave
Egg Harbor Township NJ
609-927-0390
609-927-0392
X
X
Custom Meds, Inc.
102 E Highland Blvd
Inverness
FL
352-341-1212
352-341-2626
X
X
Custom Pharmacy Solutions
Birmingham
Wichita
AL
KS
866-988-3383
316-721-2626
866-988-3553
316-721-4823
X
X
X
X
Custom Rx Pharmacy & Wellness Concepts
2637 Valleydale Rd.
3510 N Ridge Road Suite 900
X
X
X
X
Custom Rx Pharmacy & Wellness Concepts
2350 N Greenwich Road Suite 1000
Wichita
KS
316-636-9595
316-636-9591
X
X
X
X
DermaTran Health Solutions
2700 Stanley Gault Pkwy, Ste 103
Louisville
KY
855-675-5240
844-265-1995
X
DermaTran Health Solutions
85 Technology Pkwy NW
Rome
GA
855-675-5240
844-265-1995
X
Essential Pharmacy Compounding
620 N 114 Street
Omaha
NE
402-408-0015
402-408-0020
X
X
Foothills Professional Pharmacy
4545 E. Chandler #100
Phoenix
AZ
480-496-4444
480-496-4450
X
X
Foundation Care, LLC
4010 Wedgeway Court
Earth City
MO
314-291-1122
314-291-1133
X
Fusion Rx Compounding Pharmacy
Los Angeles
Santa Clara
CA
UT
(310) 204-6676 (310) 204-6678
435-703-9680 435-703-9681
X
X
X
X
Fusion Specialty Pharmacy
2001 Westwood Blvd. Suite A
1100 Canyon View Drive Suite C
X
X
X
X
Harbor Compounding and Home Healthcare
2000 Harbor Blvd Suite C100
Costa Mesa
CA
949-642-0106
949-642-5039
X
X
X
X
Health Dimensions, Inc
39303 Country Club Drive A26
Farmington Hills
MI
800-836-2303
248-489-1586
X
X
X
X
Heritage Compounding Pharmacy
11 Midtown Park East
Mobile
AL
251-472-0814
251-472-0864
X
X
X
X
Hopewell Pharmacy
Hopewell
Tampa
NJ
FL
609-466-1960
813-839-8861
609-466-8222
813-839-8941
X
X
X
Hoye's Pharmacy
1 West Borad Street
4330 South Manhattan Avenue
X
X
X
Imprimis Rx
780 Primos Ave Unit E
Folcroft
PA
(888) 824-8100 (866) 302-7625
Infinity Compounding Solutions
1204 SE 28th Street Suite 2
Bentonville
AR
888-414-5805
855-422-2400
X
X
X
Innovation Compounding Inc
6095 Pine Mountain Road NW suite 108
Kennesaw
GA
770-421-1399
770-426-1965
X
X
X
Inverness Apothecary Trinity
24333 Gordon Terry Parkway Suite B
Trinity
AL
256-260-3350
256-260-3351
X
X
X
X
Johnson Compounding & Wellness
577 Main Street
Waltham
MA
781-893-3870
781-899-1172
X
X
X
X
Lee Silsby Compounding Pharmacy
3216 Silsby Rd
Cleveland Heights
OH
216-321-4300
216-321-4303
X
X
X
Magnolia Specialty Pharmacy
163 Turtle Creek Drive Suite 130
Hattiesburg
MS
877-871-3935
888-990-0575
X
X
X
MasterPharm
115-02 Liberty Avenue
Richmond Hill
NY
718-529-5500
718-529-2780
X
X
X
Medaus Pharmacy
6801 Cahaba Valley Rd Suite 116
Birmingham
AL
(205) 981-2352 (205) 981-2767
X
X
X
Millers Compounding Pharmacy
678 Wyckoff Avenue
Wyckoff
NJ
888-891-3334
X
X
X
X
X
X
X
National Specialty Pharmacy LLC
2970 St. Rose Parkway #120
Henderson
NV
(702) 832-3320 (702) 425-9704
X
Partell Specialty Pharmacy East
5835 S Eastern Ave Suite 101
Las Vegas
NV
702-791-3800
702-791-3630
X
X
X
X
X
X
X
Partell Specialty Pharmacy West
8751 W Charleston Blvd Suite 120
Las Vegas
NV
702-685-3800
702-685-3636
X
X
X
X
X
X
Patient Care America
5371 Hiatus Road
Sunrise
FL
954-473-4717
954-473-9519
X
X
Pentec Health, Inc.
4 Creek Parkway
Boothwyn
PA
800-223-4376
610-494-7328
X
X
Return to Instructions
Fax
TOP
HRT PED NAS STR SUP PTD
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
866-891-3334
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
* Return to Menu
Please Note: You may not see a pharmacy near you (or even in your state of residence) listed, however the
NCCP pharmacies listed for each state are licensed to dispense and ship compound medications to that state.
Not all NCCP pharmacies participate in all networks.
Please verify the compound credentialed pharmacy participates in your Plan’s network.
10-24-2016
MISSOURI (MO) – Continued
Pharmacy Name
Address
City
State Phone
Fax
PerforMix Specialty Pharmacy
25 Pelham Rd
Salem
NH
603-870-9618
603-870-9621
X
X
X
X
Pharmacy Innovations
2936 W. 17th ST
Erie
PA
814-838-2102
814-838-2103
X
X
X
X
Pharmacy Innovations
4000 Park St
St. Petersburg
FL
727-381-0700
727-347-2050
X
X
Pharmacy Solutions
5204 Jackson Road Suite C
393 Maitland Ave
Ann Arbor
Altamonte Springs
MI
FL
(734) 821-8000 (734) 821-8001
407-260-7002 407-260-7044
X
X
X
Pharmacy Specialists
X
X
X
Pinnacle Compounding
1120 Kensington Ave. Ste. E
Missoula
MT
(406) 541-6121 (406) 541-6267
X
X
ReadyScrip Advanced Pharma
201 Route 17 North, 11th floor
Rutherford
NJ
(201) 549-8895 (201) 549-8878
X
X
X
X
X
RepublicRx Specialty Pharmacy
1862 W. Bitters Rd Ste. 100
San Antonio
TX
210-718-0300
X
X
X
X
X
RoxSan Pharmacy
465 N. Roxbury Dr. Ground Floor
3740 St. Johns Bluff Road #19
Beverly Hills
Jacksonville
CA
FL
(310) 273-1644 (310) 276-4152
904-361-3861 904-361-3866
X
X
X
X
Smart Pharmacy
X
X
X
Specialty Chemist Corp.
65-60 Fresh Meadow Lane
Fresh Meadows
NY
(718) 353-2595 (718) 886-8658
X
X
St. Louis Hills Pharmacy
4365 Chippewa St Suite 100
St. Louis
MO
(314) 832-2480 (314) 832-2498
X
X
X
X
X
Stark Pharmacy
5701 W 119th Street
Overland Park
KS
X
X
X
X
X
X
6136 E 51st Street
Tulsa
OK
913-345-3803
918-665-8283
X
The Apothecary Shoppe (Tulsa)
913-345-3800
918-665-2003
X
X
X
X
X
X
X
TPS
3524 Decatur Highway Suite 302
Fultondale
AL
205-608-4995
205-608-2718
X
Transdermal Therapeutics, Inc.
211 Summit Pkwy Suite 124
Homewood
AL
877-581-5445
877-495-5445
X
Vasco Rx Specialty Pharmacy
4045 E Bell Rd Suite 163
Phoenix
AZ
(602) 971-6950 (602) 404-2504
X
X
X
X
X
X
X
Westchase Compounding Pharmacy
12617 Race Track Road
Tampa
FL
813-925-8200
813-925-8933
X
X
X
X
X
X
X
Xpress Compounding
1000 W. Weatherford St Suite 120
Fort Worth
TX
844-977-3770
817-887-5545
X
X
X
X
X
X
Return to Instructions
210-255-1461
TOP
HRT PED NAS STR SUP PTD
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
* Return to Menu
Please Note: You may not see a pharmacy near you (or even in your state of residence) listed, however the
NCCP pharmacies listed for each state are licensed to dispense and ship compound medications to that state.
Not all NCCP pharmacies participate in all networks.
Please verify the compound credentialed pharmacy participates in your Plan’s network.
10-24-2016
MONTANA (MT)
Pharmacy Name
Address
City
State Phone
Fax
Advanced Infusion Solutions
623 Highland Colony Parkway Suite 100
Ridgeland
MS
877-443-4006
888-298-2220
America's Best Care Plus, Inc
1825 Everett Drive W.
Fort Payne
AL
800-638-6305
800-638-0294
X
X
X
Anderson Compounding Pharmacy
310 Bluff City Highway
Bristol
TN
423-764-4136
423-764-5167
X
X
X
Assured Rx
13555 Automobile Blvd Suite 230
Clearwater
FL
727-451-6815
888-209-4962
X
Avella of Deer Valley, Inc.
23620 N 20th Drive Suite 12
Phoenix
AZ
877-792-7684
866-792-7684
X
X
X
X
Central Rexall Drugs, Inc
125 E. Thomas Street
Hammond
LA
985-345-5120
985-345-5178
X
X
X
X
Conversio Health
720 Aerovista Place Suite D
San Luis Obispo
CA
Curexa
3007 Ocean Heights Ave
Egg Harbor Township
NJ
609-927-0390
609-927-0392
X
X
Custom Meds, Inc.
102 E Highland Blvd
Inverness
FL
352-341-1212
352-341-2626
X
X
DermaTran Health Solutions
85 Technology Pkwy NW
Rome
GA
855-675-5240
844-265-1995
X
Essential Pharmacy Compounding
620 N 114 Street
Omaha
NE
402-408-0015
402-408-0020
X
X
Foothills Professional Pharmacy
4545 E. Chandler #100
Phoenix
AZ
480-496-4444
480-496-4450
X
X
Foundation Care, LLC
4010 Wedgeway Court
Earth City
MO
314-291-1122
314-291-1133
X
Fusion Rx Compounding Pharmacy
Los Angeles
Santa Clara
CA
UT
(310) 204-6676 (310) 204-6678
435-703-9680 435-703-9681
X
X
X
X
Fusion Specialty Pharmacy
2001 Westwood Blvd. Suite A
1100 Canyon View Drive Suite C
X
X
X
X
Hoye's Pharmacy
4330 South Manhattan Avenue
Tampa
FL
813-839-8861
X
X
X
X
Imprimis Rx
780 Primos Ave Unit E
Folcroft
PA
(888) 824-8100 (866) 302-7625
Infinity Compounding Solutions
1204 SE 28th Street Suite 2
Bentonville
AR
888-414-5805
855-422-2400
X
X
X
Innovation Compounding Inc
6095 Pine Mountain Road NW suite 108
Kennesaw
GA
770-421-1399
770-426-1965
X
X
X
Inverness Apothecary Trinity
24333 Gordon Terry Parkway Suite B
Trinity
AL
256-260-3350
256-260-3351
X
X
X
Lee Silsby Compounding Pharmacy
3216 Silsby Rd
Cleveland Heights
OH
216-321-4300
216-321-4303
X
X
X
Magnolia Specialty Pharmacy
163 Turtle Creek Drive Suite 130
Hattiesburg MS
877-871-3935
888-990-0575
X
X
X
MasterPharm
115-02 Liberty Avenue
Richmond Hill NY
718-529-5500
718-529-2780
X
X
X
Medaus Pharmacy
6801 Cahaba Valley Rd Suite 116
Birmingham AL
(205) 981-2352 (205) 981-2767
X
X
X
Millers Compounding Pharmacy
678 Wyckoff Avenue
Wyckoff
NJ
888-891-3334
X
X
X
X
X
X
X
National Specialty Pharmacy LLC
2970 St. Rose Parkway #120
Henderson
NV
(702) 832-3320 (702) 425-9704
X
Park Compounding
9257 Research Dr
Irvine
CA
949-551-7195
949-551-1950
X
X
X
X
X
X
X
Pentec Health, Inc.
4 Creek Parkway
Boothwyn
PA
800-223-4376
610-494-7328
Pharmacy Creations
540 Route 10 West
Randolph
NJ
973-328-8756
973-328-8731
X
Pharmacy Innovations
2936 W. 17th ST
Erie
PA
814-838-2102
814-838-2103
X
Phusion Pharmacy
17 Coventry Shoppers Park
Coventry
RI
401-823-0000
401-823-0300
X
Pinnacle Compounding
1120 Kensington Ave. Ste. E
Missoula
MT
(406) 541-6121 (406) 541-6267
X
X
Riverpoint Pharmacy
528 E Spokane Fall Blvd #110
Spokane
WA
509-343-6252
X
X
X
RoxSan Pharmacy
Beverly Hills CA
Jacksonville FL
(310) 273-1644 (310) 276-4152
904-361-3861 904-361-3866
X
X
X
Smart Pharmacy
465 N. Roxbury Dr. Ground Floor
3740 St. Johns Bluff Road #19
X
X
X
Topical Solutions Pharmacy
20612 N. Cave Creek Rd. #150
Phoenix
AZ
(480) 351-8278 (480) 351-8277
X
Vasco Rx Specialty Pharmacy
4045 E Bell Rd Suite 163
Phoenix
AZ
(602) 971-6950 (602) 404-2504
X
X
X
Xpress Compounding
1000 W. Weatherford St Suite 120
Fort Worth
TX
844-977-3770
X
X
Return to Instructions
TOP
HRT PED NAS STR SUP PTD
X
866-891-3334
509-343-6251
817-887-5545
X
X
X
X
(866) 239-3784 (800) 977-9255
813-839-8941
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
* Return to Menu
Please Note: You may not see a pharmacy near you (or even in your state of residence) listed, however the
NCCP pharmacies listed for each state are licensed to dispense and ship compound medications to that state.
Not all NCCP pharmacies participate in all networks.
Please verify the compound credentialed pharmacy participates in your Plan’s network.
10-24-2016
NEBRASKA (NE)
Pharmacy Name
Address
State Phone
Fax
Advanced Infusion Solutions
623 Highland Colony Parkway Suite 100 Ridgeland
City
MS
877-443-4006
888-298-2220
America's Best Care Plus, Inc
1825 Everett Drive W.
Fort Payne
AL
800-638-6305
800-638-0294
X
X
X
Anderson Compounding Pharmacy
310 Bluff City Highway
Bristol
TN
423-764-4136
423-764-5167
X
X
X
X
Assured Rx
13555 Automobile Blvd Suite 230
Clearwater
FL
727-451-6815
888-209-4962
X
Athena Pharmacy
2025 N. Mt. Julliet Rd. Suite 100
Mt Juliet
TN
615-288-4037
615-288-4061
X
X
X
X
Avella of Deer Valley, Inc.
23620 N 20th Drive Suite 12
Phoenix
AZ
877-792-7684
866-792-7684
X
X
X
X
Central Rexall Drugs, Inc
125 E. Thomas Street
Hammond
LA
985-345-5120
985-345-5178
X
X
X
X
Clearspring Pharmacy
206 W. County Line Road Suite 100
Highlands Ranch
CO
303-707-1500
303-707-1717
X
X
X
X
Conversio Health
Custom Rx Pharmacy & Wellness Concepts
720 Aerovista Place Suite D
3510 N Ridge Road Suite 900
San Luis Obispo
Wichita
CA
KS
(866) 239-3784 (800) 977-9255
316-721-2626 316-721-4823
X
DermaTran Health Solutions
2700 Stanley Gault Pkwy, Ste 103
Louisville
KY
855-675-5240
844-265-1995
X
DermaTran Health Solutions
85 Technology Pkwy NW
Rome
GA
855-675-5240
844-265-1995
X
Diabetes Corporation of America
4701 Trousdale Drive
Nashville
TN
877-730-5770
877-327-9174
X
X
X
Essential Pharmacy Compounding
620 N 114 Street
Omaha
NE
402-408-0015
402-408-0020
X
X
X
Foothills Professional Pharmacy
4545 E. Chandler #100
Phoenix
AZ
480-496-4444
480-496-4450
X
X
Foundation Care, LLC
4010 Wedgeway Court
Earth City
MO
314-291-1122
314-291-1133
X
Infinity Compounding Solutions
1204 SE 28th Street Suite 2
Bentonville
AR
888-414-5805
855-422-2400
X
X
X
X
Inverness Apothecary Trinity
24333 Gordon Terry Parkway Suite B
Trinity
AL
256-260-3350
256-260-3351
X
X
X
X
Lee Silsby Compounding Pharmacy
3216 Silsby Rd
Cleveland Heights OH
216-321-4300
216-321-4303
X
X
X
MasterPharm
115-02 Liberty Avenue
Richmond Hill
NY
718-529-5500
718-529-2780
X
X
Millers Compounding Pharmacy
678 Wyckoff Avenue
Wyckoff
NJ
888-891-3334
866-891-3334
X
X
Partell Specialty Pharmacy East
5835 S Eastern Ave Suite 101
Las Vegas
NV
702-791-3800
702-791-3630
X
X
Pentec Health, Inc.
4 Creek Parkway
Boothwyn
PA
800-223-4376
610-494-7328
Pharmacy Link
3648 Vann Road Building II Suite 116
Birmingham
AL
866-332-6966
866-374-4761
X
X
X
Pinnacle Compounding
1120 Kensington Ave. Ste. E
Missoula
MT
(406) 541-6121 (406) 541-6267
X
X
X
RoxSan Pharmacy
465 N. Roxbury Dr. Ground Floor
Beverly Hills
CA
(310) 273-1644 (310) 276-4152
X
X
X
X
Stark Pharmacy
5701 W 119th Street
Overland Park
KS
913-345-3800
X
X
X
X
Vasco Rx Specialty Pharmacy
4045 E Bell Rd Suite 163
Phoenix
AZ
(602) 971-6950 (602) 404-2504
X
X
X
X
Woodland Hills Pharmacy
20361 Ventura Blvd ste 305
Woodland Hills
CA
(855) 876-3060 (866) 893-9320
X
X
X
X
Return to Instructions
913-345-3803
TOP HRT PED NAS STR SUP PTD
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
* Return to Menu
Please Note: You may not see a pharmacy near you (or even in your state of residence) listed, however the
NCCP pharmacies listed for each state are licensed to dispense and ship compound medications to that state.
Not all NCCP pharmacies participate in all networks.
Please verify the compound credentialed pharmacy participates in your Plan’s network.
10-24-2016
NEVADA (NV)
Pharmacy Name
Address
City
State Phone
AAA Compounding Pharmacy
7921 Westminster Blvd.
Westminster
CA
(714) 988-6888 (714) 677-2400
X
X
X
X
Acton Pharmacy Inc
563 Massachusetts Ave
Acton
MA
978-263-3901
978-263-3901
X
X
X
X
Advanced Infusion Solutions
623 Highland Colony Parkway Suite 100
Ridgeland
MS
877-443-4006
888-298-2220
Advanced Therapeutics
319 E Palm Dr. Ste A & B
Placentia
CA
(714) 667-3832 (888) 978-5154
X
America's Best Care Plus, Inc
1825 Everett Drive W.
Fort Payne
AL
800-638-6305
800-638-0294
X
X
X
America's Compounding Center
153 California St.
Newton
MA
617-527-1563
617-527-1565
X
X
X
Anderson Compounding Pharmacy
310 Bluff City Highway
Bristol
TN
423-764-4136
423-764-5167
X
X
X
Ashland Health
12 N. Catherine Ave
La Grange
IL
708-482-4000
708-482-4004
X
Assured Rx
13555 Automobile Blvd Suite 230
Clearwater
FL
727-451-6815
888-209-4962
X
Athena Pharmacy
2025 N. Mt. Julliet Rd. Suite 100
Mt Juliet
TN
615-288-4037
615-288-4061
X
X
Auxilium Specialty Apothecary Pharmacy
16 Keystone Drive Suite B
Hattiesburg
MS
877-847-4612
888-615-6578
X
X
Avella of Deer Valley, Inc.
23620 N 20th Drive Suite 12
Phoenix
AZ
877-792-7684
866-792-7684
X
X
X
X
Avella of Scottsdale, Inc.
9777 N 91st ST
Scottsdale
AZ
480-451-3771
480-451-3503
X
X
X
X
Boothwyn Pharmacy
2341 Chichester Ave
Boothwyn
PA
610-485-1130
610-485-9223
X
X
X
CDM Drugs
2865 E Coast Hwy, Ste 150
Corona Del Mar CA
(949) 644-7575 (949) 644-2340
X
X
Central Avenue Pharmacy, Inc
133 Fifteenth Street
Pacific Grove
CA
831-373-1225
831-373-3705
X
X
X
X
Central Rexall Drugs, Inc
125 E. Thomas Street
Hammond
LA
985-345-5120
985-345-5178
X
X
X
X
Compound Care Plus Pharmacy
1410 Highway 98 Unit G
Daphne
AL
866-832-2263
866-832-2264
X
X
X
Compound Pharmaceutical Technologies
1048 Stanton Road Suite B
Daphne
AL
251-626-2820
251-626-2850
X
X
X
Conversio Health
720 Aerovista Place Suite D
San Luis Obispo CA
(866) 239-3784 (800) 977-9255
CureRx Compounding Pharmacy
5060 W. Sunset Blvd Suite C
Los Angeles
323-667-1111
323-667-1131
X
Curexa
3007 Ocean Heights Ave
Egg Harbor Township
NJ
609-927-0390
609-927-0392
X
X
Custom Meds, Inc.
102 E Highland Blvd
Inverness
FL
352-341-1212
352-341-2626
X
X
Custom Pharmacy Solutions
Birmingham
Wichita
AL
KS
866-988-3383
316-721-2626
866-988-3553
316-721-4823
X
X
X
X
Custom Rx Pharmacy & Wellness Concepts
2637 Valleydale Rd.
3510 N Ridge Road Suite 900
X
X
X
X
Diabetes Corporation of America
4701 Trousdale Drive
Nashville
TN
877-730-5770
877-327-9174
X
X
X
Don's Pharmacy
501 Ralston Street
Reno
NV
775-329-2000
775-329-6716
X
X
X
X
Eastern States Compounding Pharmacy
338 Union Street
Littleton
NH
603-444-0094
603-444-0095
X
X
X
X
X
Essential Pharmacy Compounding
620 N 114 Street
Omaha
NE
402-408-0015
402-408-0020
X
X
X
X
X
Farma Pharmacy
5240 San Fernando Road
Glendale
CA
(844) 849-3690 (818) 638-3136
X
Foothills Professional Pharmacy
4545 E. Chandler #100
Phoenix
AZ
480-496-4444
480-496-4450
X
Foundation Care, LLC
4010 Wedgeway Court
Earth City
MO
314-291-1122
314-291-1133
X
Fusion Rx Compounding Pharmacy
Los Angeles
Santa Clara
CA
UT
(310) 204-6676 (310) 204-6678
435-703-9680 435-703-9681
X
X
X
X
Fusion Specialty Pharmacy
2001 Westwood Blvd. Suite A
1100 Canyon View Drive Suite C
X
X
X
X
Harbor Compounding and Home Healthcare
2000 Harbor Blvd Suite C100
Costa Mesa
CA
949-642-0106
949-642-5039
X
X
X
X
Hopewell Pharmacy
1 West Borad Street
Hopewell
NJ
609-466-1960
609-466-8222
X
X
X
X
Imprimis Rx
780 Primos Ave Unit E
Folcroft
PA
(888) 824-8100 (866) 302-7625
Infinity Compounding Solutions
1204 SE 28th Street Suite 2
Bentonville
AR
888-414-5805
855-422-2400
X
X
X
Innovation Compounding Inc
6095 Pine Mountain Road NW suite 108
Kennesaw
GA
770-421-1399
770-426-1965
X
X
X
Inverness Apothecary Trinity
24333 Gordon Terry Parkway Suite B
Trinity
AL
256-260-3350
256-260-3351
X
X
X
X
ITC Compounding & Natural Wellness Pharmacy
651 Topeka Way Ste 600
Castle Rock
CO
303-663-4224
303-663-4263
X
X
X
X
La Vita Compounding Pharmacy
3978 Sorrento Valley Blvd #300
San Diego
CA
858-453-2500
858-453-2501
X
X
X
X
Lee Silsby Compounding Pharmacy
3216 Silsby Rd
Cleveland Heights
OH
216-321-4300
216-321-4303
X
X
X
Magnolia Specialty Pharmacy
163 Turtle Creek Drive Suite 130
Hattiesburg
MS
877-871-3935
888-990-0575
X
X
X
MasterPharm
115-02 Liberty Avenue
Richmond Hill
NY
718-529-5500
718-529-2780
X
X
X
Medaus Pharmacy
6801 Cahaba Valley Rd Suite 116
Birmingham
AL
(205) 981-2352 (205) 981-2767
X
X
X
Millers Compounding Pharmacy
678 Wyckoff Avenue
Wyckoff
NJ
888-891-3334
X
X
X
X
National Specialty Pharmacy LLC
2970 St. Rose Parkway #120
Henderson
NV
(702) 832-3320 (702) 425-9704
X
Owens Healthcare #8
2025 Court Street Suite B
Redding
CA
530-244-8669
X
X
X
X
Return to Instructions
CA
Fax
866-891-3334
530-243-0687
TOP
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X
X
* Return to Menu
Please Note: You may not see a pharmacy near you (or even in your state of residence) listed, however the
NCCP pharmacies listed for each state are licensed to dispense and ship compound medications to that state.
Not all NCCP pharmacies participate in all networks.
Please verify the compound credentialed pharmacy participates in your Plan’s network.
10-24-2016
NEVADA (NV) – Continued
Pharmacy Name
Address
City
State Phone
Fax
Park Compounding
9257 Research Dr
Irvine
CA
949-551-7195
949-551-1950
X
X
X
X
X
X
X
Partell Specialty Pharmacy East
5835 S Eastern Ave Suite 101
Las Vegas
NV
702-791-3800
702-791-3630
X
X
X
X
X
X
X
Patient Care America
5371 Hiatus Road
Sunrise
FL
954-473-4717
954-473-9519
X
X
Pentec Health, Inc.
4 Creek Parkway
Boothwyn
PA
800-223-4376
610-494-7328
X
X
Pharmacy Creations
540 Route 10 West
Randolph
NJ
973-328-8756
973-328-8731
X
Pharmacy Innovations
2936 W. 17th ST
Erie
PA
814-838-2102
814-838-2103
X
X
Pharmacy Innovations
4000 Park St
St. Petersburg
FL
727-381-0700
727-347-2050
X
X
Pharmacy Link
3648 Vann Road Building II Suite 116
Birmingham
AL
866-332-6966
866-374-4761
X
X
Pharmacy Solutions
5204 Jackson Road Suite C
Ann Arbor
MI
(734) 821-8000 (734) 821-8001
X
X
X
Phusion Pharmacy
17 Coventry Shoppers Park
Coventry
RI
401-823-0000
X
X
X
Pinnacle Compounding
1120 Kensington Ave. Ste. E
Missoula
MT
(406) 541-6121 (406) 541-6267
X
X
RepublicRx Specialty Pharmacy
1862 W. Bitters Rd Ste. 100
San Antonio
TX
210-718-0300
210-255-1461
X
X
X
X
Sierra Compounding Pharmacy
Reno
Jacksonville
NV
FL
775-853-3500
904-361-3861
775-853-3501
904-361-3866
X
X
X
X
Smart Pharmacy
9738 S. Virginia Street #G
3740 St. Johns Bluff Road #19
X
X
X
Sobe Compounding Apothecary
13150 SW 134 St
Miami
FL
305-969-5410
305-969-5453
X
X
X
X
Specialty Chemist Corp.
65-60 Fresh Meadow Lane
Fresh Meadows NY
(718) 353-2595 (718) 886-8658
X
X
Sunquest Pharmaceuticals
150 Eileen Way Suite 1
Syosset
NY
516-513-0799
X
X
X
X
Topical Solutions Pharmacy
20612 N. Cave Creek Rd. #150
Phoenix
AZ
(480) 351-8278 (480) 351-8277
X
TPS
3524 Decatur Highway Suite 302
Fultondale
AL
205-608-4995
205-608-2718
X
Trinity Medical Pharmacy
9332 State Road 54 Suite 203
New Port Richey FL
727-495-6979
727-213-6979
X
X
X
X
V.L.S. Pharmacy, Inc.
4402 5th Avenue
Brooklyn
NY
(718) 854-1384 (718) 854-4313
X
X
X
X
Valley Prescription and Compounding Pharmacy
330 E. 13th St
Merced
CA
209-722-5765
X
X
X
Vasco Rx Specialty Pharmacy
4045 E Bell Rd Suite 163
Phoenix
AZ
(602) 971-6950 (602) 404-2504
X
X
X
X
Village Pharmacy
898 Tanager Street
Incline Village
NV
775-831-1133
775-831-2228
X
X
X
X
Westchase Compounding Pharmacy
12617 Race Track Road
Tampa
FL
813-925-8200
813-925-8933
X
X
X
Xpress Compounding
1000 W. Weatherford St Suite 120
Fort Worth
TX
844-977-3770
817-887-5545
X
X
Return to Instructions
401-823-0300
516-677-6050
209-722-3296
TOP
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X
X
X
X
X
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X
X
X
* Return to Menu
Please Note: You may not see a pharmacy near you (or even in your state of residence) listed, however the
NCCP pharmacies listed for each state are licensed to dispense and ship compound medications to that state.
Not all NCCP pharmacies participate in all networks.
Please verify the compound credentialed pharmacy participates in your Plan’s network.
10-24-2016
NEW HAMPSHIRE (NH)
Pharmacy Name
Address
City
State Phone
Fax
Acton Pharmacy Inc
563 Massachusetts Ave
Acton
MA
978-263-3901
978-263-3901
Advanced Infusion Solutions
623 Highland Colony Parkway Suite 100
Ridgeland
MS
877-443-4006
888-298-2220
America's Best Care Plus, Inc
1825 Everett Drive W.
Fort Payne
AL
800-638-6305
800-638-0294
X
X
X
America's Compounding Center
153 California St.
Newton
MA
617-527-1563
617-527-1565
X
X
X
Anderson Compounding Pharmacy
310 Bluff City Highway
Bristol
TN
423-764-4136
423-764-5167
X
X
X
Ashland Health
12 N. Catherine Ave
La Grange
IL
708-482-4000
708-482-4004
X
Assured Rx
13555 Automobile Blvd Suite 230
Clearwater
FL
727-451-6815
888-209-4962
X
Athena Pharmacy
2025 N. Mt. Julliet Rd. Suite 100
Mt Juliet
TN
615-288-4037
615-288-4061
X
X
X
X
Avella of Deer Valley, Inc.
23620 N 20th Drive Suite 12
Phoenix
AZ
877-792-7684
866-792-7684
X
X
X
X
Birds Hill Pharmacy
401 Great Plain Ave
Needham
MA
781-449-0550
781-449-7993
X
X
X
X
Boothwyn Pharmacy
2341 Chichester Ave
Boothwyn
PA
610-485-1130
610-485-9223
X
X
X
Central Avenue Pharmacy, Inc
133 Fifteenth Street
Pacific Grove
CA
831-373-1225
831-373-3705
X
X
X
X
Central Rexall Drugs, Inc
125 E. Thomas Street
Hammond
LA
985-345-5120
985-345-5178
X
X
X
X
Century Pharmacy LLC
37 W. Century Rd Suite 113
Paramus
NJ
201-261-6479
201-261-9479
X
Conversio Health
720 Aerovista Place Suite D
San Luis Obispo
CA
(866) 239-3784 (800) 977-9255
Curexa
3007 Ocean Heights Ave
Egg Harbor Township NJ
609-927-0390
609-927-0392
X
X
Custom Meds, Inc.
102 E Highland Blvd
Inverness
FL
352-341-1212
352-341-2626
X
X
DermaTran Health Solutions
2700 Stanley Gault Pkwy, Ste 103
Louisville
KY
855-675-5240
844-265-1995
X
DermaTran Health Solutions
85 Technology Pkwy NW
Rome
GA
855-675-5240
844-265-1995
X
Eastern States Compounding Pharmacy
338 Union Street
Littleton
NH
603-444-0094
603-444-0095
X
X
X
X
X
Essential Pharmacy Compounding
620 N 114 Street
Omaha
NE
402-408-0015
402-408-0020
X
X
X
X
X
Foothills Professional Pharmacy
4545 E. Chandler #100
Phoenix
AZ
480-496-4444
480-496-4450
X
X
Foundation Care, LLC
4010 Wedgeway Court
Earth City
MO
314-291-1122
314-291-1133
X
Fusion Rx Compounding Pharmacy
2001 Westwood Blvd. Suite A
Los Angeles
CA
(310) 204-6676 (310) 204-6678
X
X
X
X
Health Dimensions, Inc
39303 Country Club Drive A26
Farmington Hills
MI
800-836-2303
248-489-1586
X
X
X
X
Heritage Compounding Pharmacy
11 Midtown Park East
Mobile
AL
251-472-0814
251-472-0864
X
X
X
X
Imprimis Rx
780 Primos Ave Unit E
Folcroft
PA
(888) 824-8100 (866) 302-7625
Infinity Compounding Solutions
1204 SE 28th Street Suite 2
Bentonville
AR
888-414-5805
855-422-2400
X
X
X
X
Inverness Apothecary Trinity
24333 Gordon Terry Parkway Suite B
Trinity
AL
256-260-3350
256-260-3351
X
X
X
X
Johnson Compounding & Wellness
577 Main Street
Waltham
MA
781-893-3870
781-899-1172
X
X
X
X
Lee Silsby Compounding Pharmacy
3216 Silsby Rd
Cleveland Heights
OH
216-321-4300
216-321-4303
X
X
X
Magnolia Specialty Pharmacy
163 Turtle Creek Drive Suite 130
Hattiesburg
MS
877-871-3935
888-990-0575
X
X
X
MasterPharm
115-02 Liberty Avenue
Richmond Hill
NY
718-529-5500
718-529-2780
X
X
X
Medaus Pharmacy
6801 Cahaba Valley Rd Suite 116
Birmingham
AL
(205) 981-2352 (205) 981-2767
X
X
X
Millers Compounding Pharmacy
678 Wyckoff Avenue
Wyckoff
NJ
888-891-3334
866-891-3334
X
X
X
X
X
X
X
Park Compounding
9257 Research Dr
Irvine
CA
949-551-7195
949-551-1950
X
X
X
X
X
X
X
Patient Care America
5371 Hiatus Road
Sunrise
FL
954-473-4717
954-473-9519
X
Pentec Health, Inc.
4 Creek Parkway
Boothwyn
PA
800-223-4376
610-494-7328
X
PerforMix Specialty Pharmacy
25 Pelham Rd
Salem
NH
603-870-9618
603-870-9621
X
Pharmacy Creations
540 Route 10 West
Randolph
NJ
973-328-8756
973-328-8731
X
Pharmacy Innovations
2936 W. 17th ST
Erie
PA
814-838-2102
814-838-2103
X
X
Pharmacy Link
3648 Vann Road Building II Suite 116
Birmingham
AL
866-332-6966
866-374-4761
X
X
Transdermal Therapeutics, Inc.
211 Summit Pkwy Suite 124
Homewood
AL
877-581-5445
877-495-5445
X
Trinity Medical Pharmacy
9332 State Road 54 Suite 203
New Port Richey
FL
727-495-6979
727-213-6979
X
X
Vasco Rx Specialty Pharmacy
4045 E Bell Rd Suite 163
Phoenix
AZ
(602) 971-6950 (602) 404-2504
X
Westchase Compounding Pharmacy
12617 Race Track Road
Tampa
FL
813-925-8200
Woodland Hills Pharmacy
20361 Ventura Blvd ste 305
Woodland Hills
CA
Xpress Compounding
1000 W. Weatherford St Suite 120
Fort Worth
TX
Return to Instructions
TOP
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(855) 876-3060 (866) 893-9320
X
X
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844-977-3770
X
X
X
X
813-925-8933
817-887-5545
X
X
X
X
* Return to Menu
Please Note: You may not see a pharmacy near you (or even in your state of residence) listed, however the
NCCP pharmacies listed for each state are licensed to dispense and ship compound medications to that state.
Not all NCCP pharmacies participate in all networks.
Please verify the compound credentialed pharmacy participates in your Plan’s network.
10-24-2016
NEW JERSEY (NJ)
Pharmacy Name
Address
City
State Phone
Access Compounding Pharmacy
1450 Emerson Ave. #110
McLean
VA
(571) 488-6620 (571) 488-6621
X
Acton Pharmacy Inc
563 Massachusetts Ave
Acton
MA
978-263-3901
978-263-3901
X
Advanced Infusion Solutions
623 Highland Colony Parkway Suite 100
Ridgeland
MS
877-443-4006
888-298-2220
America's Best Care Plus, Inc
1825 Everett Drive W.
Fort Payne
AL
800-638-6305
800-638-0294
X
X
X
America's Compounding Center
153 California St.
Newton
MA
617-527-1563
617-527-1565
X
X
X
Anderson Compounding Pharmacy
310 Bluff City Highway
Bristol
TN
423-764-4136
423-764-5167
X
X
X
Ashland Health
12 N. Catherine Ave
La Grange
IL
708-482-4000
708-482-4004
X
Assured Rx
13555 Automobile Blvd Suite 230
Clearwater
FL
727-451-6815
888-209-4962
X
Athena Pharmacy
2025 N. Mt. Julliet Rd. Suite 100
Mt Juliet
TN
615-288-4037
615-288-4061
X
X
Auxilium Specialty Apothecary Pharmacy
16 Keystone Drive Suite B
Hattiesburg
MS
877-847-4612
888-615-6578
X
X
Avella of Deer Valley, Inc.
23620 N 20th Drive Suite 12
Phoenix
AZ
877-792-7684
866-792-7684
X
X
X
Boothwyn Pharmacy
2341 Chichester Ave
Boothwyn
PA
610-485-1130
610-485-9223
X
X
X
CDM Drugs
2865 E Coast Hwy, Ste 150
Corona Del Mar
CA
(949) 644-7575 (949) 644-2340
X
X
Central Avenue Pharmacy, Inc
133 Fifteenth Street
Pacific Grove
CA
831-373-1225
831-373-3705
X
X
X
X
Central Rexall Drugs, Inc
125 E. Thomas Street
Hammond
LA
985-345-5120
985-345-5178
X
X
X
X
Century Pharmacy LLC
37 W. Century Rd Suite 113
Paramus
NJ
201-261-6479
201-261-9479
X
Chemistry Rx
829 Spruce Street Suite 100
Philadelphia
PA
855-790-0100
267-861-0862
X
X
X
Compound Care Plus Pharmacy
1410 Highway 98 Unit G
Daphne
AL
866-832-2263
866-832-2264
X
X
X
Compounding Docs Inc
5499 N Federal Hwy Suite G
Boca Raton
FL
561-826-0711
561-826-0717
X
X
X
X
Conversio Health
720 Aerovista Place Suite D
San Luis Obispo
CA
(866) 239-3784 (800) 977-9255
X
X
CureRx Compounding Pharmacy
5060 W. Sunset Blvd Suite C
Los Angeles
CA
323-667-1111
323-667-1131
X
Curexa
3007 Ocean Heights Ave
Egg Harbor Township NJ
609-927-0390
609-927-0392
X
X
Custom Meds, Inc.
102 E Highland Blvd
Inverness
FL
352-341-1212
352-341-2626
X
X
Custom Pharmacy Solutions
2637 Valleydale Rd.
Birmingham
AL
866-988-3383
866-988-3553
X
X
DermaTran Health Solutions
2700 Stanley Gault Pkwy, Ste 103
Louisville
KY
855-675-5240
844-265-1995
X
DermaTran Health Solutions
85 Technology Pkwy NW
Rome
GA
855-675-5240
844-265-1995
X
Diabetes Corporation of America
4701 Trousdale Drive
Nashville
TN
877-730-5770
877-327-9174
X
X
X
Eastern States Compounding Pharmacy
338 Union Street
Littleton
NH
603-444-0094
603-444-0095
X
X
X
X
X
Essential Pharmacy Compounding
620 N 114 Street
Omaha
NE
402-408-0015
402-408-0020
X
X
X
X
X
X
X
Family Pharmacy
2653 Bruce B Downs Blvd Suite 115
Wesley Chapel
FL
813-991-9500
813-991-9600
X
X
X
X
X
X
X
Foothills Professional Pharmacy
4545 E. Chandler #100
Phoenix
AZ
480-496-4444
480-496-4450
X
X
Foundation Care, LLC
4010 Wedgeway Court
Earth City
MO
314-291-1122
314-291-1133
X
Fusion Rx Compounding Pharmacy
2001 Westwood Blvd. Suite A
Los Angeles
CA
(310) 204-6676 (310) 204-6678
X
X
X
X
Hill Country Apothecary
1310 RR 620 S. Suite A-1
Lakeway
TX
512-351-9139
512-366-5573
X
X
X
X
Hopewell Pharmacy
Hopewell
Tampa
NJ
FL
609-466-1960
813-839-8861
609-466-8222
813-839-8941
X
X
X
X
X
X
Hoye's Pharmacy
1 West Borad Street
4330 South Manhattan Avenue
X
X
X
X
X
X
Ideal Care Pharmacy
1621 Ave U
Brooklyn
NY
(718) 382-1990 (718) 382-1991
X
Infinity Compounding Solutions
1204 SE 28th Street Suite 2
Bentonville
AR
888-414-5805
855-422-2400
X
X
X
X
Innovation Compounding Inc
6095 Pine Mountain Road NW suite 108
Kennesaw
GA
770-421-1399
770-426-1965
X
X
X
Inverness Apothecary Trinity
24333 Gordon Terry Parkway Suite B
Trinity
AL
256-260-3350
256-260-3351
X
X
X
X
ITC Compounding & Natural Wellness Pharmacy
651 Topeka Way Ste 600
Castle Rock
CO
303-663-4224
303-663-4263
X
X
X
X
Jersey Shore Pharmacy
580 N Main Street
Barnegat
NJ
609-660-1111
609-660-0101
X
X
X
X
Johnson Compounding & Wellness
577 Main Street
Waltham
MA
781-893-3870
781-899-1172
X
X
X
X
X
Kare Pharmacy
136 Arnett Blvd
Danville
VA
(434) 792-8281 (434) 792-3235
X
X
X
X
X
Lake Side Pharmacy
10005 AL Hwy 9 N
Cedar Bluff
AL
256-422-5010
866-609-4582
X
Lee Silsby Compounding Pharmacy
3216 Silsby Rd
Cleveland Heights
OH
216-321-4300
216-321-4303
X
X
X
Return to Instructions
Fax
TOP
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* Return to Menu
Please Note: You may not see a pharmacy near you (or even in your state of residence) listed, however the
NCCP pharmacies listed for each state are licensed to dispense and ship compound medications to that state.
Not all NCCP pharmacies participate in all networks.
Please verify the compound credentialed pharmacy participates in your Plan’s network.
10-24-2016
NEW JERSEY (NJ) - Continued
Pharmacy Name
Address
City
State Phone
Fax
Magnolia Specialty Pharmacy
163 Turtle Creek Drive Suite 130
Hattiesburg
MS
877-871-3935
888-990-0575
X
X
X
MasterPharm
115-02 Liberty Avenue
Richmond Hill
NY
718-529-5500
718-529-2780
X
X
X
X
Millers Compounding Pharmacy
678 Wyckoff Avenue
Wyckoff
NJ
888-891-3334
866-891-3334
X
X
X
X
Modern Medicine Rx
33-41 Newark St Suite 2b
Hoboken
NJ
(201) 420-9000 (201) 420-4040
X
X
National Specialty Pharmacy LLC
2970 St. Rose Parkway #120
Henderson
NV
(702) 832-3320 (702) 425-9704
X
Nour Pharmacy
535 Getty Avenue #2
Clifton
NJ
973-955-4000
973-955-4009
X
X
X
Partell Specialty Pharmacy East
5835 S Eastern Ave Suite 101
Las Vegas
NV
702-791-3800
702-791-3630
X
X
X
X
X
Partell Specialty Pharmacy West
8751 W Charleston Blvd Suite 120
Las Vegas
NV
702-685-3800
702-685-3636
X
X
X
X
Patient Care America
5371 Hiatus Road
Sunrise
FL
954-473-4717
954-473-9519
X
Pentec Health, Inc.
4 Creek Parkway
Boothwyn
PA
800-223-4376
610-494-7328
X
PerforMix Specialty Pharmacy
25 Pelham Rd
Salem
NH
603-870-9618
603-870-9621
X
Pharmacy Creations
540 Route 10 West
Randolph
NJ
973-328-8756
973-328-8731
X
Pharmacy Innovations
863 Fairmount Ave
Jamestown
NY
716-484-1586
716-488-0073
X
X
Pharmacy Link
3648 Vann Road Building II Suite 116
Birmingham
AL
866-332-6966
866-374-4761
X
X
Pharmacy Solutions
5204 Jackson Road Suite C
Ann Arbor
MI
(734) 821-8000 (734) 821-8001
X
X
Pinnacle Compounding
1120 Kensington Ave. Ste. E
Missoula
MT
(406) 541-6121 (406) 541-6267
X
X
Premier Pharmacy Inc.
109 Jack White Dr
Kingsport
TN
423-245-1022
423-245-6391
X
X
PROMED PHARMACY
537 East Meadow Ave
East Meadow
NY
516-307-9200
516-307-9191
X
X
X
X
X
ReadyScrip Advanced Pharma
201 Route 17 North, 11th floor
Rutherford
NJ
(201) 549-8895 (201) 549-8878
X
X
X
X
X
X
Redi Pharmacy
250 West Route 59 Suite 5
Nanuet
NY
(845) 507-0630 (845) 507-0631
X
X
X
X
X
X
RepublicRx Specialty Pharmacy
San Antonio
Jacksonville
TX
FL
210-718-0300
904-361-3861
X
X
X
X
X
Smart Pharmacy
1862 W. Bitters Rd Ste. 100
3740 St. Johns Bluff Road #19
X
X
X
Specialty Chemist Corp.
65-60 Fresh Meadow Lane
Fresh Meadows
NY
(718) 353-2595 (718) 886-8658
X
X
St. Louis Hills Pharmacy
4365 Chippewa St Suite 100
St. Louis
MO
(314) 832-2480 (314) 832-2498
X
X
X
Sunquest Pharmaceuticals
150 Eileen Way Suite 1
Syosset
NY
516-513-0799
516-677-6050
X
X
X
The Wellness Center Pharmacy & Surgical
3117 U.S. 9
Old Bridge
NJ
732-679-3555
732-679-6797
X
X
X
Topical Solutions Pharmacy
20612 N. Cave Creek Rd. #150
Phoenix
AZ
(480) 351-8278 (480) 351-8277
X
TPS
3524 Decatur Highway Suite 302
Fultondale
AL
205-608-4995
205-608-2718
X
Transdermal Therapeutics, Inc.
211 Summit Pkwy Suite 124
Homewood
AL
877-581-5445
877-495-5445
X
Trinity Medical Pharmacy
9332 State Road 54 Suite 203
New Port Richey
FL
727-495-6979
727-213-6979
X
X
X
X
Vasco Rx Specialty Pharmacy
4045 E Bell Rd Suite 163
Phoenix
AZ
(602) 971-6950 (602) 404-2504
X
X
X
X
Westchase Compounding Pharmacy
12617 Race Track Road
Tampa
FL
813-925-8200
X
X
X
X
Woodland Hills Pharmacy
20361 Ventura Blvd ste 305
Woodland Hills
CA
(855) 876-3060 (866) 893-9320
X
X
X
X
Return to Instructions
210-255-1461
904-361-3866
813-925-8933
TOP
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X
X
* Return to Menu
Please Note: You may not see a pharmacy near you (or even in your state of residence) listed, however the
NCCP pharmacies listed for each state are licensed to dispense and ship compound medications to that state.
Not all NCCP pharmacies participate in all networks.
Please verify the compound credentialed pharmacy participates in your Plan’s network.
10-24-2016
NEW MEXICO (NM)
Pharmacy Name
Address
City
State Phone
Access Compounding Pharmacy
1450 Emerson Ave. #110
McLean
VA
(571) 488-6620 (571) 488-6621
Advanced Infusion Solutions
623 Highland Colony Parkway Suite 100
Ridgeland
MS
877-443-4006
888-298-2220
America's Best Care Plus, Inc
1825 Everett Drive W.
Fort Payne
AL
800-638-6305
800-638-0294
X
X
X
America's Compounding Center
153 California St.
Newton
MA
617-527-1563
617-527-1565
X
X
X
Anderson Compounding Pharmacy
310 Bluff City Highway
Bristol
TN
423-764-4136
423-764-5167
X
X
X
Ashland Health
12 N. Catherine Ave
La Grange
IL
708-482-4000
708-482-4004
X
Assured Rx
13555 Automobile Blvd Suite 230
Clearwater
FL
727-451-6815
888-209-4962
X
Avella of Deer Valley, Inc.
23620 N 20th Drive Suite 12
Phoenix
AZ
877-792-7684
866-792-7684
X
X
X
X
Avella of Scottsdale, Inc.
9777 N 91st ST
Scottsdale
AZ
480-451-3771
480-451-3503
X
X
X
X
Central Avenue Pharmacy, Inc
133 Fifteenth Street
Pacific Grove
CA
831-373-1225
831-373-3705
X
X
X
X
Central Rexall Drugs, Inc
125 E. Thomas Street
Hammond
LA
985-345-5120
985-345-5178
X
X
X
X
Century Pharmacy LLC
37 W. Century Rd Suite 113
Paramus
NJ
201-261-6479
201-261-9479
X
Conversio Health
720 Aerovista Place Suite D
San Luis Obispo
CA
(866) 239-3784 (800) 977-9255
Curexa
3007 Ocean Heights Ave
Egg Harbor Township NJ
609-927-0390
609-927-0392
X
X
Custom Meds, Inc.
102 E Highland Blvd
Inverness
FL
352-341-1212
352-341-2626
X
X
Custom Pharmacy Solutions
2637 Valleydale Rd.
Birmingham
AL
866-988-3383
866-988-3553
X
X
X
DermaTran Health Solutions
85 Technology Pkwy NW
Rome
GA
855-675-5240
844-265-1995
X
Eldon Drug Company
101 S. Maple Street
Eldon
MO
573-392-4588
573-392-4425
X
X
X
Essential Pharmacy Compounding
620 N 114 Street
Omaha
NE
402-408-0015
402-408-0020
X
X
X
Foothills Professional Pharmacy
4545 E. Chandler #100
Phoenix
AZ
480-496-4444
480-496-4450
X
X
Foundation Care, LLC
4010 Wedgeway Court
Earth City
MO
314-291-1122
314-291-1133
X
Fusion Rx Compounding Pharmacy
Los Angeles
Santa Clara
CA
UT
(310) 204-6676 (310) 204-6678
435-703-9680 435-703-9681
X
X
X
X
Fusion Specialty Pharmacy
2001 Westwood Blvd. Suite A
1100 Canyon View Drive Suite C
X
X
X
X
Highland Pharmacy
717 Encino Place NE Suite 1
Albuquerque
NM
505-243-3777
505-242-3216
X
X
X
X
X
X
X
Hopewell Pharmacy
Hopewell
Tampa
NJ
FL
609-466-1960
813-839-8861
609-466-8222
813-839-8941
X
X
X
X
X
X
X
Hoye's Pharmacy
1 West Borad Street
4330 South Manhattan Avenue
X
X
X
X
X
X
Imprimis Rx
780 Primos Ave Unit E
Folcroft
PA
(888) 824-8100 (866) 302-7625
Infinity Compounding Solutions
1204 SE 28th Street Suite 2
Bentonville
AR
888-414-5805
855-422-2400
X
X
X
Innovation Compounding Inc
6095 Pine Mountain Road NW suite 108
Kennesaw
GA
770-421-1399
770-426-1965
X
X
X
X
X
Inverness Apothecary Trinity
24333 Gordon Terry Parkway Suite B
Trinity
AL
256-260-3350
256-260-3351
X
X
X
X
ITC Compounding & Natural Wellness Pharmacy
651 Topeka Way Ste 600
Castle Rock
CO
303-663-4224
303-663-4263
X
X
X
X
Lee Silsby Compounding Pharmacy
3216 Silsby Rd
Cleveland Heights
OH
216-321-4300
216-321-4303
X
X
X
Magnolia Specialty Pharmacy
163 Turtle Creek Drive Suite 130
Hattiesburg
MS
877-871-3935
888-990-0575
X
X
X
MasterPharm
115-02 Liberty Avenue
Richmond Hill
NY
718-529-5500
718-529-2780
X
X
X
Medaus Pharmacy
6801 Cahaba Valley Rd Suite 116
Birmingham
AL
(205) 981-2352 (205) 981-2767
X
X
X
Millers Compounding Pharmacy
678 Wyckoff Avenue
Wyckoff
NJ
888-891-3334
866-891-3334
X
X
X
X
X
X
X
Park Compounding
9257 Research Dr
Irvine
CA
949-551-7195
949-551-1950
X
X
X
X
X
X
X
Partell Specialty Pharmacy East
5835 S Eastern Ave Suite 101
Las Vegas
NV
702-791-3800
702-791-3630
X
X
X
X
X
X
X
Pentec Health, Inc.
4 Creek Parkway
Boothwyn
PA
800-223-4376
610-494-7328
Pharmacy Creations
540 Route 10 West
Randolph
NJ
973-328-8756
973-328-8731
X
Pharmacy Innovations
2936 W. 17th ST
Erie
PA
814-838-2102
814-838-2103
X
X
Pharmacy Innovations
4000 Park St
St. Petersburg
FL
727-381-0700
727-347-2050
X
X
X
X
Pharmacy Link
3648 Vann Road Building II Suite 116
Birmingham
AL
866-332-6966
866-374-4761
X
X
X
X
Pinnacle Compounding
1120 Kensington Ave. Ste. E
Missoula
MT
(406) 541-6121 (406) 541-6267
X
X
X
RepublicRx Specialty Pharmacy
1862 W. Bitters Rd Ste. 100
San Antonio
TX
210-718-0300
210-255-1461
X
X
X
Riverpoint Pharmacy
Spokane
Jacksonville
WA
FL
509-343-6252
904-361-3861
509-343-6251
904-361-3866
X
X
X
Smart Pharmacy
528 E Spokane Fall Blvd #110
3740 St. Johns Bluff Road #19
X
X
X
Specialty Chemist Corp.
65-60 Fresh Meadow Lane
Fresh Meadows
NY
(718) 353-2595 (718) 886-8658
X
X
Topical Solutions Pharmacy
20612 N. Cave Creek Rd. #150
Phoenix
AZ
(480) 351-8278 (480) 351-8277
X
Vasco Rx Specialty Pharmacy
4045 E Bell Rd Suite 163
Phoenix
AZ
(602) 971-6950 (602) 404-2504
X
X
X
X
X
X
X
Westchase Compounding Pharmacy
12617 Race Track Road
Tampa
FL
813-925-8200
X
X
X
X
X
X
X
Woodland Hills Pharmacy
20361 Ventura Blvd ste 305
Woodland Hills
CA
(855) 876-3060 (866) 893-9320
X
X
X
X
Xpress Compounding
1000 W. Weatherford St Suite 120
Fort Worth
TX
844-977-3770
X
X
X
X
Return to Instructions
Fax
813-925-8933
817-887-5545
TOP
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X
X
X
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X
X
* Return to Menu
Please Note: You may not see a pharmacy near you (or even in your state of residence) listed, however the
NCCP pharmacies listed for each state are licensed to dispense and ship compound medications to that state.
Not all NCCP pharmacies participate in all networks.
Please verify the compound credentialed pharmacy participates in your Plan’s network.
10-24-2016
NEW YORK (NY)
Pharmacy Name
Address
City
State Phone
Fax
Acton Pharmacy Inc
563 Massachusetts Ave
Acton
MA
978-263-3901
978-263-3901
Advanced Infusion Solutions
623 Highland Colony Parkway Suite 100
Ridgeland
MS
877-443-4006
888-298-2220
America's Best Care Plus, Inc
1825 Everett Drive W.
Fort Payne
AL
800-638-6305
800-638-0294
X
X
X
America's Compounding Center
153 California St.
Newton
MA
617-527-1563
617-527-1565
X
X
X
Anderson Compounding Pharmacy
310 Bluff City Highway
Bristol
TN
423-764-4136
423-764-5167
X
X
X
Ashland Health
12 N. Catherine Ave
La Grange
IL
708-482-4000
708-482-4004
X
Assured Rx
13555 Automobile Blvd Suite 230
Clearwater
FL
727-451-6815
888-209-4962
X
Athena Pharmacy
2025 N. Mt. Julliet Rd. Suite 100
Mt Juliet
TN
615-288-4037
615-288-4061
X
X
Auxilium Specialty Apothecary Pharmacy
16 Keystone Drive Suite B
Hattiesburg
MS
877-847-4612
888-615-6578
X
X
Avella of Deer Valley, Inc.
23620 N 20th Drive Suite 12
Phoenix
AZ
877-792-7684
866-792-7684
X
X
X
X
Avella of Scottsdale, Inc.
9777 N 91st ST
Scottsdale
AZ
480-451-3771
480-451-3503
X
X
X
X
Best Choice Pharmacy
138-19 Queens Blvd
Briarwood
NY
(718) 558-0008 (718) 558-0001
X
X
X
Birds Hill Pharmacy
401 Great Plain Ave
Needham
MA
781-449-0550
781-449-7993
X
X
X
Boothwyn Pharmacy
2341 Chichester Ave
Boothwyn
PA
610-485-1130
610-485-9223
X
X
X
Central Avenue Pharmacy, Inc
133 Fifteenth Street
Pacific Grove
CA
831-373-1225
831-373-3705
X
X
X
X
Central Rexall Drugs, Inc
125 E. Thomas Street
Hammond
LA
985-345-5120
985-345-5178
X
X
X
X
Century Pharmacy Inc
483 Kings Highway
Brooklyn
NY
718-375-4100
718-375-4633
X
Century Pharmacy LLC
37 W. Century Rd Suite 113
Paramus
NJ
201-261-6479
201-261-9479
X
Chemistry Rx
829 Spruce Street Suite 100
Philadelphia
PA
855-790-0100
267-861-0862
X
X
X
X
Compound Care Plus Pharmacy
1410 Highway 98 Unit G
Daphne
AL
866-832-2263
866-832-2264
X
X
X
Compounding Docs Inc
5499 N Federal Hwy Suite G
Boca Raton
FL
561-826-0711
561-826-0717
X
X
X
X
Conversio Health
720 Aerovista Place Suite D
San Luis Obispo
CA
(866) 239-3784 (800) 977-9255
X
X
CPRx Pharmacy
351 Cypress Creek Rd Suite 100
Cedar Park
TX
(512) 382-7393 (512) 382-7488
X
CureRx Compounding Pharmacy
5060 W. Sunset Blvd Suite C
Los Angeles
CA
323-667-1111
323-667-1131
X
Curexa
3007 Ocean Heights Ave
Egg Harbor Township NJ
609-927-0390
609-927-0392
X
X
Custom Meds, Inc.
102 E Highland Blvd
Inverness
FL
352-341-1212
352-341-2626
X
X
Custom Pharmacy Solutions
Birmingham
Wichita
AL
KS
866-988-3383
316-721-2626
866-988-3553
316-721-4823
X
X
X
X
Custom Rx Pharmacy & Wellness Concepts
2637 Valleydale Rd.
3510 N Ridge Road Suite 900
X
X
X
X
DermaTran Health Solutions
2700 Stanley Gault Pkwy, Ste 103
Louisville
KY
855-675-5240
844-265-1995
X
DermaTran Health Solutions
85 Technology Pkwy NW
Rome
GA
855-675-5240
844-265-1995
X
Diabetes Corporation of America
4701 Trousdale Drive
Nashville
TN
877-730-5770
877-327-9174
X
X
X
Eastern States Compounding Pharmacy
338 Union Street
Littleton
NH
603-444-0094
603-444-0095
X
X
X
X
X
Essential Pharmacy Compounding
620 N 114 Street
Omaha
NE
402-408-0015
402-408-0020
X
X
X
X
X
X
X
Family Pharmacy
2653 Bruce B Downs Blvd Suite 115
Wesley Chapel
FL
813-991-9500
813-991-9600
X
X
X
X
X
X
X
Foundation Care, LLC
4010 Wedgeway Court
Earth City
MO
314-291-1122
314-291-1133
X
X
X
Fulton Care Pharmacy
557 East 168th Street
Bronx
NY
(347) 918-8700 (347) 918-8701
X
Fusion Rx Compounding Pharmacy
Los Angeles
Santa Clara
CA
UT
(310) 204-6676 (310) 204-6678
435-703-9680 435-703-9681
X
X
X
X
Fusion Specialty Pharmacy
2001 Westwood Blvd. Suite A
1100 Canyon View Drive Suite C
X
X
X
X
Fusioncare Pharmacy Inc.
187-23 Hillside Ave
Jamaica
NY
(347) 644-1886 (347) 829-3018
X
H & C Chemists Inc.
1299 First Avenue
New York
NY
(212) 535-1700 (212) 535-1700
X
Haldey Pharmaceutical Compounding
2510 Westchester Ave Suite 207
Bronx
NY
855-426-6768
855-326-6768
X
X
X
Health Dimensions, Inc
39303 Country Club Drive A26
Farmington Hills
MI
800-836-2303
248-489-1586
X
X
X
X
Heritage Compounding Pharmacy
11 Midtown Park East
Mobile
AL
251-472-0814
251-472-0864
X
X
X
X
Hopewell Pharmacy
Hopewell
Tampa
NJ
FL
609-466-1960
813-839-8861
609-466-8222
813-839-8941
X
X
X
Hoye's Pharmacy
1 West Borad Street
4330 South Manhattan Avenue
X
X
X
Ideal Care Pharmacy
1621 Ave U
Brooklyn
NY
(718) 382-1990 (718) 382-1991
Imprimis Rx
780 Primos Ave Unit E
Folcroft
PA
(888) 824-8100 (866) 302-7625
Infinity Compounding Solutions
1204 SE 28th Street Suite 2
Bentonville
AR
888-414-5805
855-422-2400
X
X
X
Innovation Compounding Inc
6095 Pine Mountain Road NW suite 108
Kennesaw
GA
770-421-1399
770-426-1965
X
X
X
Inverness Apothecary Trinity
24333 Gordon Terry Parkway Suite B
Trinity
AL
256-260-3350
256-260-3351
X
X
X
X
ITC Compounding & Natural Wellness Pharmacy
651 Topeka Way Ste 600
Castle Rock
CO
303-663-4224
303-663-4263
X
X
X
X
Return to Instructions
TOP
X
HRT PED NAS STR SUP PTD
X
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X
X
X
X
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X
X
* Return to Menu
Please Note: You may not see a pharmacy near you (or even in your state of residence) listed, however the
NCCP pharmacies listed for each state are licensed to dispense and ship compound medications to that state.
Not all NCCP pharmacies participate in all networks.
Please verify the compound credentialed pharmacy participates in your Plan’s network.
10-24-2016
NEW YORK (NY) – Continued
Pharmacy Name
Address
City
State Phone
Fax
Jersey Shore Pharmacy
580 N Main Street
Barnegat
NJ
609-660-1111
609-660-0101
X
X
X
X
Johnson Compounding & Wellness
577 Main Street
Waltham
MA
781-893-3870
781-899-1172
X
X
X
X
Just In Time Pharmacy
96 Moore St.
Brooklyn
NY
718-218-6630
718-218-8046
X
Keystone Pharmacy, LLC
118 Weisenberger #400
Madison
MS
855-739-9948
855-221-0918
X
X
X
X
Lake Side Pharmacy
10005 AL Hwy 9 N
Cedar Bluff
AL
256-422-5010
866-609-4582
X
Lee Silsby Compounding Pharmacy
3216 Silsby Rd
Cleveland Heights
OH
216-321-4300
216-321-4303
X
X
Magnolia Specialty Pharmacy
163 Turtle Creek Drive Suite 130
Hattiesburg
MS
877-871-3935
888-990-0575
X
X
X
MasterPharm
115-02 Liberty Avenue
Richmond Hill
NY
718-529-5500
718-529-2780
X
X
X
Medaus Pharmacy
6801 Cahaba Valley Rd Suite 116
Birmingham
AL
(205) 981-2352 (205) 981-2767
X
X
X
X
X
Medical Center Pharmacy
912 S. 16th Street
Wilmington
NC
910-763-1896
910-763-1709
X
X
X
X
X
X
Medscript Pharmacy
14400 John Humphery Drive Ste 110
Orland Park
IL
708-460-4930
708-460-4932
X
Millers Compounding Pharmacy
678 Wyckoff Avenue
Wyckoff
NJ
888-891-3334
866-891-3334
X
X
X
X
X
X
X
Modern Medicine Rx
33-41 Newark St Suite 2b
Hoboken
NJ
(201) 420-9000 (201) 420-4040
X
X
National Specialty Pharmacy LLC
2970 St. Rose Parkway #120
Henderson
NV
(702) 832-3320 (702) 425-9704
X
Park Compounding
9257 Research Dr
Irvine
CA
949-551-7195
949-551-1950
X
X
X
X
X
X
X
Partell Specialty Pharmacy West
8751 W Charleston Blvd Suite 120
Las Vegas
NV
702-685-3800
702-685-3636
X
X
X
X
X
X
Patient Care America
5371 Hiatus Road
Sunrise
FL
954-473-4717
954-473-9519
X
X
Pentec Health, Inc.
4 Creek Parkway
Boothwyn
PA
800-223-4376
610-494-7328
X
X
Pentec Health, Inc.
120 Forbes Blvd Suite 140
Mansfield
MA
800-233-4376
610-494-7328
X
PerforMix Specialty Pharmacy
25 Pelham Rd
Salem
NH
603-870-9618
603-870-9621
X
Pharmacy Creations
540 Route 10 West
Randolph
NJ
973-328-8756
973-328-8731
X
Pharmacy Innovations
2936 W. 17th ST
Erie
PA
814-838-2102
814-838-2103
X
Pharmacy Innovations
863 Fairmount Ave
Jamestown
NY
716-484-1586
716-488-0073
X
Pharmacy Innovations
4000 Park St
St. Petersburg
FL
727-381-0700
727-347-2050
X
X
Pharmacy Link
3648 Vann Road Building II Suite 116
Birmingham
AL
866-332-6966
866-374-4761
X
X
Pharmacy Solutions
Ann Arbor
Altamonte Springs
MI
FL
(734) 821-8000 (734) 821-8001
407-260-7002 407-260-7044
X
X
X
Pharmacy Specialists
5204 Jackson Road Suite C
393 Maitland Ave
X
X
X
X
Phusion Pharmacy
17 Coventry Shoppers Park
Coventry
RI
401-823-0000
X
X
X
X
Pinnacle Compounding
1120 Kensington Ave. Ste. E
Missoula
MT
(406) 541-6121 (406) 541-6267
X
X
Premier Pharmacy Inc.
109 Jack White Dr
Kingsport
TN
423-245-1022
423-245-6391
X
X
X
X
Professional Arts Pharmacy
128 Curran Lane
Lafayette
LA
337-991-0101
337-991-0151
X
X
X
X
X
Pure Health Pharmacy
8014 18th Ave
Brooklyn
NY
718-236-2747
718-236-2723
X
ReadyScrip Advanced Pharma
201 Route 17 North, 11th floor
Rutherford
NJ
(201) 549-8895 (201) 549-8878
X
X
X
X
X
X
Redi Pharmacy
250 West Route 59 Suite 5
Nanuet
NY
(845) 507-0630 (845) 507-0631
X
X
X
X
X
X
RepublicRx Specialty Pharmacy
San Antonio
Jacksonville
TX
FL
210-718-0300
904-361-3861
X
X
X
X
X
Smart Pharmacy
1862 W. Bitters Rd Ste. 100
3740 St. Johns Bluff Road #19
X
X
X
Specialty Chemist Corp.
65-60 Fresh Meadow Lane
Fresh Meadows
NY
(718) 353-2595 (718) 886-8658
X
X
St. Louis Hills Pharmacy
4365 Chippewa St Suite 100
St. Louis
MO
(314) 832-2480 (314) 832-2498
X
X
X
X
X
Sugar Land Compounding Pharmacy
14823 Southwest Freeway, Suite B
Sugar Land
TX
(281) 302-6080 (281) 302-8259
X
X
X
X
X
X
Sunquest Pharmaceuticals
150 Eileen Way Suite 1
Syosset
NY
516-513-0799
X
X
X
X
X
Topical Solutions Pharmacy
20612 N. Cave Creek Rd. #150
Phoenix
AZ
(480) 351-8278 (480) 351-8277
X
TPS
3524 Decatur Highway Suite 302
Fultondale
AL
205-608-4995
205-608-2718
X
Transdermal Therapeutics, Inc.
211 Summit Pkwy Suite 124
Homewood
AL
877-581-5445
877-495-5445
X
Trinity Medical Pharmacy
9332 State Road 54 Suite 203
New Port Richey
FL
727-495-6979
727-213-6979
X
X
X
X
V.L.S. Pharmacy, Inc.
4402 5th Avenue
Brooklyn
NY
(718) 854-1384 (718) 854-4313
X
X
X
X
Vasco Rx Specialty Pharmacy
4045 E Bell Rd Suite 163
Phoenix
AZ
(602) 971-6950 (602) 404-2504
X
X
X
X
Vernak Farms Country Store and Pharmacy
1889 East Lake Road
Skaneateles
NY
315-673-9327
315-673-9896
X
X
X
X
Westchase Compounding Pharmacy
12617 Race Track Road
Tampa
FL
813-925-8200
813-925-8933
X
X
X
X
Woodland Hills Pharmacy
20361 Ventura Blvd ste 305
Woodland Hills
CA
(855) 876-3060 (866) 893-9320
X
X
X
X
Xpress Compounding
1000 W. Weatherford St Suite 120
Fort Worth
TX
844-977-3770
X
X
Return to Instructions
401-823-0300
210-255-1461
904-361-3866
516-677-6050
817-887-5545
TOP
HRT PED NAS STR SUP PTD
X
X
X
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X
X
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X
X
X
* Return to Menu
Please Note: You may not see a pharmacy near you (or even in your state of residence) listed, however the
NCCP pharmacies listed for each state are licensed to dispense and ship compound medications to that state.
Not all NCCP pharmacies participate in all networks.
Please verify the compound credentialed pharmacy participates in your Plan’s network.
10-24-2016
NORTH CAROLINA (NC)
Pharmacy Name
Address
City
State Phone
Fax
Advanced Infusion Solutions
623 Highland Colony Parkway Suite 100
Ridgeland
MS
877-443-4006
888-298-2220
TOP
HRT PED NAS STR SUP PTD
Allcare Pharmacy and Healthcare Services
112 S. Oxley Drive
Lyons
GA
912-526-3200
912-526-5960
X
X
X
America's Best Care Plus, Inc
1825 Everett Drive W.
Fort Payne
AL
800-638-6305
800-638-0294
X
X
X
America's Compounding Center
153 California St.
Newton
MA
617-527-1563
617-527-1565
X
X
X
Aspirar Pharmacy
135 Parkway Office G STE 105
Cary
NC
919-971-9011
855-382-7700
X
Assured Rx
13555 Automobile Blvd Suite 230
Clearwater
FL
727-451-6815
888-209-4962
X
Auxilium Specialty Apothecary Pharmacy
16 Keystone Drive Suite B
Hattiesburg
MS
877-847-4612
888-615-6578
X
X
Avella of Deer Valley, Inc.
23620 N 20th Drive Suite 12
Phoenix
AZ
877-792-7684
866-792-7684
X
X
X
X
Avella of Scottsdale, Inc.
9777 N 91st ST
Scottsdale
AZ
480-451-3771
480-451-3503
X
X
X
X
Boothwyn Pharmacy
2341 Chichester Ave
Boothwyn
PA
610-485-1130
610-485-9223
X
X
X
Carolina Compounding & Nutritional Pharmacy
7825 Ballantyne Commons Parkway Suite 230
Charlotte
NC
704-540-4330
704-540-4660
X
X
X
X
X
X
Central Rexall Drugs, Inc
125 E. Thomas Street
Hammond
LA
985-345-5120
985-345-5178
X
X
X
X
X
X
Compound Care Plus Pharmacy
1410 Highway 98 Unit G
Daphne
AL
866-832-2263
866-832-2264
X
X
X
Comprehensive Wellness Pharmacy
2269 Wilma Rudolph Blvd. Suite 103
Clarksville
TN
(855) 806-6042
Conversio Health
720 Aerovista Place Suite D
San Luis Obispo
CA
(866) 239-3784 (800) 977-9255
Custom Meds, Inc.
102 E Highland Blvd
Inverness
FL
352-341-1212
352-341-2626
X
DermaTran Health Solutions
2700 Stanley Gault Pkwy, Ste 103
Louisville
KY
855-675-5240
844-265-1995
X
DermaTran Health Solutions
85 Technology Pkwy NW
Rome
GA
855-675-5240
844-265-1995
X
Essential Pharmacy Compounding
620 N 114 Street
Omaha
NE
402-408-0015
402-408-0020
X
X
X
X
X
X
X
Everwell Specialty Pharmacy
825 E. Burgess Road
Pensacola
FL
850-473-9190
850-473-9935
X
X
X
X
X
X
X
Foothills Professional Pharmacy
4545 E. Chandler #100
Phoenix
AZ
480-496-4444
480-496-4450
X
X
Foundation Care, LLC
4010 Wedgeway Court
Earth City
MO
314-291-1122
314-291-1133
X
Fusion Rx Compounding Pharmacy
2001 Westwood Blvd. Suite A
Los Angeles
CA
(310) 204-6676 (310) 204-6678
X
X
X
X
Infinity Compounding Solutions
1204 SE 28th Street Suite 2
Bentonville
AR
888-414-5805
855-422-2400
X
X
X
X
Innovation Compounding Inc
6095 Pine Mountain Road NW suite 108
Kennesaw
GA
770-421-1399
770-426-1965
X
X
X
Inverness Apothecary Trinity
24333 Gordon Terry Parkway Suite B
Trinity
AL
256-260-3350
256-260-3351
X
X
X
Lake Side Pharmacy
10005 AL Hwy 9 N
Cedar Bluff
AL
256-422-5010
866-609-4582
X
Magnolia Specialty Pharmacy
163 Turtle Creek Drive Suite 130
Hattiesburg
MS
877-871-3935
888-990-0575
X
MasterPharm
115-02 Liberty Avenue
Richmond Hill
NY
718-529-5500
718-529-2780
Medaus Pharmacy
6801 Cahaba Valley Rd Suite 116
Birmingham
AL
Medical Center Pharmacy
912 S. 16th Street
Wilmington
NC
Millers Compounding Pharmacy
678 Wyckoff Avenue
Wyckoff
Park Compounding
9257 Research Dr
Patient Care America
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
(205) 981-2352 (205) 981-2767
X
X
X
910-763-1896
910-763-1709
X
X
X
X
X
NJ
888-891-3334
866-891-3334
X
X
X
X
X
X
X
Irvine
CA
949-551-7195
949-551-1950
X
X
X
X
X
X
X
5371 Hiatus Road
Sunrise
FL
954-473-4717
954-473-9519
X
X
Pentec Health, Inc.
4 Creek Parkway
Boothwyn
PA
800-223-4376
610-494-7328
X
X
Pharmacy Creations
540 Route 10 West
Randolph
NJ
973-328-8756
973-328-8731
X
Pharmacy Innovations
620 Congaree Road Suite F
Greenville
SC
864-241-0477
864-241-0843
X
X
Pharmacy Link
Birmingham
AL
Altamonte Springs FL
866-332-6966
407-260-7002
866-374-4761
407-260-7044
X
X
Pharmacy Specialists
3648 Vann Road Building II Suite 116
393 Maitland Ave
X
X
Phusion Pharmacy
17 Coventry Shoppers Park
Coventry
RI
401-823-0000
401-823-0300
X
X
Pinnacle Compounding
1120 Kensington Ave. Ste. E
Missoula
MT
(406) 541-6121 (406) 541-6267
X
X
Premier Pharmacy Inc.
109 Jack White Dr
Kingsport
TN
423-245-1022
X
X
ProCompounding Pharmacy
527 N. State of Franklin Rd. Suite 2
Johnson City
TN
(423) 975-0597 (423) 975-6304
X
X
X
RoxSan Pharmacy
465 N. Roxbury Dr. Ground Floor
Beverly Hills
CA
(310) 273-1644 (310) 276-4152
X
X
Rx3 Compounding Pharmacy
Chester
Jacksonville
VA
FL
804-717-5000
904-361-3861
804-717-8300
904-361-3866
X
Smart Pharmacy
12230 Ironbridge Rd Suite C
3740 St. Johns Bluff Road #19
Stark Pharmacy
5701 W 119th Street
Overland Park
KS
913-345-3800
TPS
3524 Decatur Highway Suite 302
Fultondale
AL
Transdermal Therapeutics, Inc.
211 Summit Pkwy Suite 124
Homewood
Vasco Rx Specialty Pharmacy
4045 E Bell Rd Suite 163
Woodland Hills Pharmacy
20361 Ventura Blvd ste 305
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
913-345-3803
X
X
X
X
X
205-608-4995
205-608-2718
X
AL
877-581-5445
877-495-5445
X
Phoenix
AZ
(602) 971-6950 (602) 404-2504
X
X
X
X
Woodland Hills
CA
(855) 876-3060 (866) 893-9320
X
X
X
X
Return to Instructions
423-245-6391
X
X
X
X
X
X
X
X
X
X
X
X
X
* Return to Menu
Please Note: You may not see a pharmacy near you (or even in your state of residence) listed, however the
NCCP pharmacies listed for each state are licensed to dispense and ship compound medications to that state.
Not all NCCP pharmacies participate in all networks.
Please verify the compound credentialed pharmacy participates in your Plan’s network.
10-24-2016
NORTH DAKOTA (ND)
Pharmacy Name
Address
City
State Phone
Fax
Advanced Infusion Solutions
623 Highland Colony Parkway Suite 100
Ridgeland
MS
877-443-4006
888-298-2220
TOP
HRT PED NAS STR SUP PTD
America's Best Care Plus, Inc
1825 Everett Drive W.
Fort Payne
AL
800-638-6305
800-638-0294
X
X
X
Anderson Compounding Pharmacy
310 Bluff City Highway
Bristol
TN
423-764-4136
423-764-5167
X
X
X
Ashland Health
12 N. Catherine Ave
La Grange
IL
708-482-4000
708-482-4004
X
Assured Rx
13555 Automobile Blvd Suite 230
Clearwater
FL
727-451-6815
888-209-4962
X
Athena Pharmacy
2025 N. Mt. Julliet Rd. Suite 100
Mt Juliet
TN
615-288-4037
615-288-4061
X
X
X
X
Avella of Deer Valley, Inc.
23620 N 20th Drive Suite 12
Phoenix
AZ
877-792-7684
866-792-7684
X
X
X
X
Central Rexall Drugs, Inc
125 E. Thomas Street
Hammond
LA
985-345-5120
985-345-5178
X
X
X
X
Conversio Health
720 Aerovista Place Suite D
San Luis Obispo CA
(866) 239-3784 (800) 977-9255
Custom Meds, Inc.
102 E Highland Blvd
Inverness
FL
352-341-1212
352-341-2626
X
DermaTran Health Solutions
2700 Stanley Gault Pkwy, Ste 103
Louisville
KY
855-675-5240
844-265-1995
X
DermaTran Health Solutions
85 Technology Pkwy NW
Rome
GA
855-675-5240
844-265-1995
X
Essential Pharmacy Compounding
620 N 114 Street
Omaha
NE
402-408-0015
402-408-0020
X
X
Foothills Professional Pharmacy
4545 E. Chandler #100
Phoenix
AZ
480-496-4444
480-496-4450
X
X
Foundation Care, LLC
4010 Wedgeway Court
Earth City
MO
314-291-1122
314-291-1133
X
Fusion Rx Compounding Pharmacy
2001 Westwood Blvd. Suite A
Los Angeles
CA
(310) 204-6676 (310) 204-6678
Imprimis Rx
780 Primos Ave Unit E
Folcroft
PA
(888) 824-8100 (866) 302-7625
Infinity Compounding Solutions
1204 SE 28th Street Suite 2
Bentonville
AR
888-414-5805
Innovation Compounding Inc
6095 Pine Mountain Road NW suite 108
Kennesaw
GA
Inverness Apothecary Trinity
24333 Gordon Terry Parkway Suite B
Trinity
ITC Compounding & Natural Wellness Pharmacy
651 Topeka Way Ste 600
Magnolia Specialty Pharmacy
MasterPharm
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
855-422-2400
X
X
X
770-421-1399
770-426-1965
X
X
X
AL
256-260-3350
256-260-3351
X
X
X
X
Castle Rock
CO
303-663-4224
303-663-4263
X
X
X
X
163 Turtle Creek Drive Suite 130
Hattiesburg
MS
877-871-3935
888-990-0575
X
X
X
115-02 Liberty Avenue
Richmond Hill
NY
718-529-5500
718-529-2780
X
X
X
Medaus Pharmacy
6801 Cahaba Valley Rd Suite 116
Birmingham
AL
(205) 981-2352 (205) 981-2767
X
X
X
Millers Compounding Pharmacy
678 Wyckoff Avenue
Wyckoff
NJ
888-891-3334
866-891-3334
X
X
X
X
X
X
X
Park Compounding
9257 Research Dr
Irvine
CA
949-551-7195
949-551-1950
X
X
X
X
X
X
X
Pentec Health, Inc.
4 Creek Parkway
Boothwyn
PA
800-223-4376
610-494-7328
Pharmacy Creations
540 Route 10 West
Randolph
NJ
973-328-8756
973-328-8731
X
RepublicRx Specialty Pharmacy
1862 W. Bitters Rd Ste. 100
3740 St. Johns Bluff Road #19
San Antonio
Jacksonville
TX
FL
210-718-0300
904-361-3861
210-255-1461
904-361-3866
X
Smart Pharmacy
X
Specialty Chemist Corp.
65-60 Fresh Meadow Lane
Fresh Meadows NY
(718) 353-2595 (718) 886-8658
X
X
Topical Solutions Pharmacy
20612 N. Cave Creek Rd. #150
Phoenix
AZ
(480) 351-8278 (480) 351-8277
X
Vasco Rx Specialty Pharmacy
4045 E Bell Rd Suite 163
Phoenix
AZ
(602) 971-6950 (602) 404-2504
X
X
X
X
Woodland Hills Pharmacy
20361 Ventura Blvd ste 305
Woodland Hills CA
(855) 876-3060 (866) 893-9320
X
X
X
X
Xpress Compounding
1000 W. Weatherford St Suite 120
Fort Worth
844-977-3770
X
X
Return to Instructions
TX
817-887-5545
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
* Return to Menu
Please Note: You may not see a pharmacy near you (or even in your state of residence) listed, however the
NCCP pharmacies listed for each state are licensed to dispense and ship compound medications to that state.
Not all NCCP pharmacies participate in all networks.
Please verify the compound credentialed pharmacy participates in your Plan’s network.
10-24-2016
OHIO (OH)
Pharmacy Name
Address
City
State Phone
Access Compounding Pharmacy
1450 Emerson Ave. #110
McLean
VA
(571) 488-6620 (571) 488-6621
Advanced Infusion Solutions
623 Highland Colony Parkway Suite 100
Ridgeland
MS
877-443-4006
888-298-2220
Akron Health Mart Pharmacy
879 East Exchange St
Akron
OH
330-375-5040
330-375-5048
X
X
X
America's Best Care Plus, Inc
1825 Everett Drive W.
Fort Payne
AL
800-638-6305
800-638-0294
X
X
X
Anderson Compounding Pharmacy
310 Bluff City Highway
Bristol
TN
423-764-4136
423-764-5167
X
X
X
Ashland Health
12 N. Catherine Ave
La Grange
IL
708-482-4000
708-482-4004
X
Assured Rx
13555 Automobile Blvd Suite 230
Clearwater
FL
727-451-6815
888-209-4962
X
Athena Pharmacy
2025 N. Mt. Julliet Rd. Suite 100
Mt Juliet
TN
615-288-4037
615-288-4061
X
X
Auxilium Specialty Apothecary Pharmacy
16 Keystone Drive Suite B
Hattiesburg
MS
877-847-4612
888-615-6578
X
X
Avella of Deer Valley, Inc.
23620 N 20th Drive Suite 12
Phoenix
AZ
877-792-7684
866-792-7684
X
X
X
X
BioMed Specialty Pharmacy
7731 Cox Lane
West Chester
OH
513-847-1260
513-847-1506
X
X
X
X
Boothwyn Pharmacy
2341 Chichester Ave
Boothwyn
PA
610-485-1130
610-485-9223
X
X
X
Buderer Drug Company
38530 Chester Road Suite 400
Avon
OH
440-934-3100
440-934-3103
X
X
X
X
X
X
X
Buderer Drug Company
26611 N. Dixie Highway Suite 119
Perrysburg
OH
419-873-2800
419-873-0494
X
X
X
X
X
X
X
Buderer Drug Company
633 Hancock Street
Sandusky
OH
419-627-2800
419-626-0494
X
X
X
X
X
X
X
Central Rexall Drugs, Inc
125 E. Thomas Street
Hammond
LA
985-345-5120
985-345-5178
X
X
X
X
X
X
Century Pharmacy LLC
37 W. Century Rd Suite 113
Paramus
NJ
201-261-6479
201-261-9479
X
Chemistry Rx
829 Spruce Street Suite 100
Philadelphia
PA
855-790-0100
267-861-0862
X
X
X
X
Clark Professional Pharmacy
3280 Washtenaw Ave
Ann Arbor
MI
734-369-8782
734-585-5184
X
X
X
X
X
Clark's Rx Pharmacy
7415 Old Troy Pike
Huber Heights
OH
(937) 506-3060 (937) 506-3061
X
X
X
X
X
X
Compound Care Plus Pharmacy
1410 Highway 98 Unit G
Daphne
AL
866-832-2263
866-832-2264
X
X
X
Compound Pharmaceutical Technologies
1048 Stanton Road Suite B
Daphne
AL
251-626-2820
251-626-2850
X
X
X
Compounding Docs Inc
5499 N Federal Hwy Suite G
Boca Raton
FL
561-826-0711
561-826-0717
X
X
X
X
X
Conversio Health
720 Aerovista Place Suite D
San Luis Obispo
CA
(866) 239-3784 (800) 977-9255
X
X
Curexa
3007 Ocean Heights Ave
Egg Harbor Township NJ
609-927-0390
609-927-0392
X
X
Custom Meds, Inc.
102 E Highland Blvd
Inverness
FL
352-341-1212
352-341-2626
X
X
Custom Pharmacy Solutions
2637 Valleydale Rd.
Birmingham
AL
866-988-3383
866-988-3553
X
X
DermaTran Health Solutions
2700 Stanley Gault Pkwy, Ste 103
Louisville
KY
855-675-5240
844-265-1995
X
DermaTran Health Solutions
85 Technology Pkwy NW
Rome
GA
855-675-5240
844-265-1995
X
Diabetes Corporation of America
4701 Trousdale Drive
Nashville
TN
877-730-5770
877-327-9174
X
X
X
Eastern States Compounding Pharmacy
338 Union Street
Littleton
NH
603-444-0094
603-444-0095
X
X
X
X
X
Essential Pharmacy Compounding
620 N 114 Street
Omaha
NE
402-408-0015
402-408-0020
X
X
X
X
X
X
Foothills Professional Pharmacy
4545 E. Chandler #100
Phoenix
AZ
480-496-4444
480-496-4450
X
X
Fort Wayne Custom Rx Inc
425 E Dupont Road
Fort Wayne
IN
260-490-3447
260-490-3457
X
X
X
X
X
Foundation Care, LLC
4010 Wedgeway Court
Earth City
MO
314-291-1122
314-291-1133
X
X
X
Fusion Rx Compounding Pharmacy
2001 Westwood Blvd. Suite A
Los Angeles
CA
(310) 204-6676 (310) 204-6678
X
X
X
Haldey Pharmaceutical Compounding
2510 Westchester Ave Suite 207
Bronx
NY
855-426-6768
855-326-6768
X
X
X
Health Dimensions, Inc
39303 Country Club Drive A26
Farmington Hills
MI
800-836-2303
248-489-1586
X
X
X
X
Hill Country Apothecary
1310 RR 620 S. Suite A-1
Lakeway
TX
512-351-9139
512-366-5573
X
X
X
X
Hopewell Pharmacy
Hopewell
Tampa
NJ
FL
609-466-1960
813-839-8861
609-466-8222
813-839-8941
X
X
X
Hoye's Pharmacy
1 West Borad Street
4330 South Manhattan Avenue
X
X
X
Imprimis Rx
780 Primos Ave Unit E
Folcroft
PA
(888) 824-8100 (866) 302-7625
Infinity Compounding Solutions
1204 SE 28th Street Suite 2
Bentonville
AR
888-414-5805
855-422-2400
X
X
X
Innovation Compounding Inc
6095 Pine Mountain Road NW suite 108
Kennesaw
GA
770-421-1399
770-426-1965
X
X
X
Inverness Apothecary Trinity
24333 Gordon Terry Parkway Suite B
Trinity
AL
256-260-3350
256-260-3351
X
X
X
X
ITC Compounding & Natural Wellness Pharmacy
651 Topeka Way Ste 600
Castle Rock
CO
303-663-4224
303-663-4263
X
X
X
X
Return to Instructions
Fax
TOP
HRT PED NAS STR SUP PTD
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X
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X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
* Return to Menu
Please Note: You may not see a pharmacy near you (or even in your state of residence) listed, however the
NCCP pharmacies listed for each state are licensed to dispense and ship compound medications to that state.
Not all NCCP pharmacies participate in all networks.
Please verify the compound credentialed pharmacy participates in your Plan’s network.
10-24-2016
OHIO (OH) – Continued
Pharmacy Name
Address
City
State Phone
Fax
La Vita Compounding Pharmacy
3978 Sorrento Valley Blvd #300
San Diego
CA
858-453-2500
858-453-2501
X
Lake Side Pharmacy
10005 AL Hwy 9 N
Cedar Bluff
AL
256-422-5010
866-609-4582
X
Lee Silsby Compounding Pharmacy
3216 Silsby Rd
Cleveland Heights
OH
216-321-4300
216-321-4303
X
X
Magnolia Specialty Pharmacy
163 Turtle Creek Drive Suite 130
Hattiesburg
MS
877-871-3935
888-990-0575
X
X
X
MasterPharm
115-02 Liberty Avenue
Richmond Hill
NY
718-529-5500
718-529-2780
X
X
X
MD Compounding Pharmacy
721 Boardman-Canfield Rd
Boardman
OH
330-726-6337
855-301-8645
X
X
X
Medaus Pharmacy
6801 Cahaba Valley Rd Suite 116
Birmingham
AL
(205) 981-2352 (205) 981-2767
X
X
X
Medscript Pharmacy
14400 John Humphery Drive Ste 110
Orland Park
IL
708-460-4930
708-460-4932
X
Millers Compounding Pharmacy
678 Wyckoff Avenue
Wyckoff
NJ
888-891-3334
866-891-3334
X
X
X
X
X
X
X
National Specialty Pharmacy LLC
2970 St. Rose Parkway #120
Henderson
NV
(702) 832-3320 (702) 425-9704
X
Park Compounding
9257 Research Dr
Irvine
CA
949-551-7195
949-551-1950
X
X
X
X
X
X
X
Patient Care America
5371 Hiatus Road
Sunrise
FL
954-473-4717
954-473-9519
X
X
Pentec Health, Inc.
4 Creek Parkway
Boothwyn
PA
800-223-4376
610-494-7328
X
X
Pentec Health, Inc.
120 Forbes Blvd Suite 140
Mansfield
MA
800-233-4376
610-494-7328
X
X
Pharmacy Creations
540 Route 10 West
Randolph
NJ
973-328-8756
973-328-8731
X
Pharmacy Innovations
2936 W. 17th ST
Erie
PA
814-838-2102
814-838-2103
X
X
Pharmacy Innovations
4000 Park St
St. Petersburg
FL
727-381-0700
727-347-2050
X
X
Pharmacy Link
3648 Vann Road Building II Suite 116
Birmingham
AL
866-332-6966
866-374-4761
X
X
Pharmacy Solutions
Ann Arbor
Altamonte Springs
MI
FL
(734) 821-8000 (734) 821-8001
407-260-7002 407-260-7044
X
X
X
Pharmacy Specialists
5204 Jackson Road Suite C
393 Maitland Ave
X
X
X
X
Phusion Pharmacy
17 Coventry Shoppers Park
Coventry
RI
401-823-0000
X
X
X
X
Pinnacle Compounding
1120 Kensington Ave. Ste. E
Missoula
MT
(406) 541-6121 (406) 541-6267
X
X
Precision Compounding Pharmacy
2113 State Street
New Albany
IN
812-941-9300
812-941-9417
X
X
X
X
X
Professional Compounding Pharmacists
111 2nd Street Suite 100
Leechburg
PA
877-883-9300
877-883-9301
X
X
X
X
X
Rock Valley Compounding Pharmacy
Rockford
Jacksonville
IL
FL
(779) 423-0542 (815) 977-3077
904-361-3861 904-361-3866
X
X
X
X
Smart Pharmacy
811 S. Perryville Rd Unit 109
3740 St. Johns Bluff Road #19
X
X
X
Specialty Chemist Corp.
65-60 Fresh Meadow Lane
Fresh Meadows
NY
(718) 353-2595 (718) 886-8658
X
X
Sugar Land Compounding Pharmacy
14823 Southwest Freeway, Suite B
Sugar Land
TX
(281) 302-6080 (281) 302-8259
X
X
TPS
3524 Decatur Highway Suite 302
Fultondale
AL
205-608-4995
205-608-2718
X
Transdermal Therapeutics, Inc.
211 Summit Pkwy Suite 124
Homewood
AL
877-581-5445
877-495-5445
X
Trinity Medical Pharmacy
9332 State Road 54 Suite 203
New Port Richey
FL
727-495-6979
727-213-6979
X
X
X
X
Vasco Rx Specialty Pharmacy
4045 E Bell Rd Suite 163
Phoenix
AZ
(602) 971-6950 (602) 404-2504
X
X
X
X
Westchase Compounding Pharmacy
12617 Race Track Road
Tampa
FL
813-925-8200
X
X
X
X
Woodland Hills Pharmacy
20361 Ventura Blvd ste 305
Woodland Hills
CA
(855) 876-3060 (866) 893-9320
X
X
X
X
Xpress Compounding
1000 W. Weatherford St Suite 120
Fort Worth
TX
844-977-3770
X
X
Return to Instructions
401-823-0300
813-925-8933
817-887-5545
TOP
HRT PED NAS STR SUP PTD
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X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
* Return to Menu
Please Note: You may not see a pharmacy near you (or even in your state of residence) listed, however the
NCCP pharmacies listed for each state are licensed to dispense and ship compound medications to that state.
Not all NCCP pharmacies participate in all networks.
Please verify the compound credentialed pharmacy participates in your Plan’s network.
10-24-2016
OKLAHOMA (OK)
Pharmacy Name
Address
City
State Phone
Access Compounding Pharmacy
1450 Emerson Ave. #110
McLean
VA
(571) 488-6620 (571) 488-6621
Advanced Infusion Solutions
623 Highland Colony Parkway Suite 100
Ridgeland
MS
877-443-4006
888-298-2220
America's Best Care Plus, Inc
1825 Everett Drive W.
Fort Payne
AL
800-638-6305
800-638-0294
X
X
X
America's Compounding Center
153 California St.
Newton
MA
617-527-1563
617-527-1565
X
X
X
Anderson Compounding Pharmacy
310 Bluff City Highway
Bristol
TN
423-764-4136
423-764-5167
X
X
X
Assured Rx
13555 Automobile Blvd Suite 230
Clearwater
FL
727-451-6815
888-209-4962
X
Athena Pharmacy
2025 N. Mt. Julliet Rd. Suite 100
Mt Juliet
TN
615-288-4037
615-288-4061
X
X
Auxilium Specialty Apothecary Pharmacy
16 Keystone Drive Suite B
Hattiesburg
MS
877-847-4612
888-615-6578
X
X
Avella of Deer Valley, Inc.
23620 N 20th Drive Suite 12
Phoenix
AZ
877-792-7684
866-792-7684
X
X
X
X
Baker Express Pharmacy
1842 N Hwy 81
Duncan
OK
580-255-3784
580-252-6278
X
X
X
X
Central Avenue Pharmacy, Inc
133 Fifteenth Street
Pacific Grove
CA
831-373-1225
831-373-3705
X
X
X
X
Central Rexall Drugs, Inc
125 E. Thomas Street
Hammond
LA
985-345-5120
985-345-5178
X
X
X
X
Century Pharmacy LLC
37 W. Century Rd Suite 113
Paramus
NJ
201-261-6479
201-261-9479
X
Compound Care Plus Pharmacy
1410 Highway 98 Unit G
Daphne
AL
866-832-2263
866-832-2264
X
X
Conversio Health
720 Aerovista Place Suite D
San Luis Obispo
CA
(866) 239-3784 (800) 977-9255
Custom Meds, Inc.
102 E Highland Blvd
Inverness
FL
352-341-1212
352-341-2626
X
X
Custom Pharmacy Solutions
Birmingham
Wichita
AL
KS
866-988-3383
316-721-2626
866-988-3553
316-721-4823
X
X
X
X
Custom Rx Pharmacy & Wellness Concepts
2637 Valleydale Rd.
3510 N Ridge Road Suite 900
X
X
X
X
DermaTran Health Solutions
2700 Stanley Gault Pkwy, Ste 103
Louisville
KY
855-675-5240
844-265-1995
X
DermaTran Health Solutions
85 Technology Pkwy NW
Rome
GA
855-675-5240
844-265-1995
X
Eastern States Compounding Pharmacy
338 Union Street
Littleton
NH
603-444-0094
603-444-0095
X
X
X
X
X
Essential Pharmacy Compounding
620 N 114 Street
Omaha
NE
402-408-0015
402-408-0020
X
X
X
X
X
Foothills Professional Pharmacy
4545 E. Chandler #100
Phoenix
AZ
480-496-4444
480-496-4450
X
X
Foundation Care, LLC
4010 Wedgeway Court
Earth City
MO
314-291-1122
314-291-1133
X
Hill Country Apothecary
Lakeway
Tampa
TX
FL
512-351-9139
813-839-8861
512-366-5573
813-839-8941
X
X
X
X
Hoye's Pharmacy
1310 RR 620 S. Suite A-1
4330 South Manhattan Avenue
X
X
X
X
Infinity Compounding Solutions
1204 SE 28th Street Suite 2
Bentonville
AR
888-414-5805
855-422-2400
X
X
X
X
Inverness Apothecary Trinity
Trinity
Murphy
AL
TX
256-260-3350
972-535-2020
256-260-3351
855-385-9990
X
X
X
X
Inverness Lone Star Pharmacy
24333 Gordon Terry Parkway Suite B
223 E. FM 544 Suite 806
X
X
X
X
ITC Compounding & Natural Wellness Pharmacy
651 Topeka Way Ste 600
Castle Rock
CO
303-663-4224
303-663-4263
X
X
X
X
Keystone Pharmacy, LLC
118 Weisenberger #400
Madison
MS
855-739-9948
855-221-0918
X
X
X
X
Lake Side Pharmacy
10005 AL Hwy 9 N
Cedar Bluff
AL
256-422-5010
866-609-4582
X
Lee Silsby Compounding Pharmacy
3216 Silsby Rd
Cleveland Heights OH
216-321-4300
216-321-4303
X
X
Magnolia Specialty Pharmacy
163 Turtle Creek Drive Suite 130
Hattiesburg
MS
877-871-3935
888-990-0575
X
X
X
MasterPharm
115-02 Liberty Avenue
Richmond Hill
NY
718-529-5500
718-529-2780
X
X
X
Medaus Pharmacy
6801 Cahaba Valley Rd Suite 116
Birmingham
AL
(205) 981-2352 (205) 981-2767
X
X
X
Medscript Pharmacy
14400 John Humphery Drive Ste 110
Orland Park
IL
708-460-4930
708-460-4932
X
Millers Compounding Pharmacy
678 Wyckoff Avenue
Wyckoff
NJ
888-891-3334
866-891-3334
X
X
X
X
X
X
X
Park Compounding
9257 Research Dr
Irvine
CA
949-551-7195
949-551-1950
X
X
X
X
X
X
X
Partell Specialty Pharmacy West
8751 W Charleston Blvd Suite 120
Las Vegas
NV
702-685-3800
702-685-3636
X
X
X
X
X
X
Patient Care America
5371 Hiatus Road
Sunrise
FL
954-473-4717
954-473-9519
X
X
Pentec Health, Inc.
4 Creek Parkway
Boothwyn
PA
800-223-4376
610-494-7328
X
X
Pharmacy Creations
540 Route 10 West
Randolph
NJ
973-328-8756
973-328-8731
X
Pharmacy Innovations
1030 Louetta Road Suite C
Houston
TX
281-251-0888
281-251-0889
X
X
Pharmacy Innovations
4000 Park St
St. Petersburg
FL
727-381-0700
727-347-2050
X
X
X
Pharmacy Link
3648 Vann Road Building II Suite 116
Birmingham
AL
866-332-6966
866-374-4761
X
X
X
Phusion Pharmacy
17 Coventry Shoppers Park
Coventry
RI
401-823-0000
401-823-0300
X
X
Pinnacle Compounding
1120 Kensington Ave. Ste. E
Missoula
MT
(406) 541-6121 (406) 541-6267
X
X
Return to Instructions
Fax
TOP
HRT PED NAS STR SUP PTD
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X
X
* Return to Menu
Please Note: You may not see a pharmacy near you (or even in your state of residence) listed, however the
NCCP pharmacies listed for each state are licensed to dispense and ship compound medications to that state.
Not all NCCP pharmacies participate in all networks.
Please verify the compound credentialed pharmacy participates in your Plan’s network.
10-24-2016
OKLAHOMA (OK) – Continued
Pharmacy Name
Address
City
State Phone
Red River Pharmacy Services Inc
1327 College Drive
Texarkana
TX
(903) 792-7435 (903) 793-0485
X
X
X
X
RepublicRx Specialty Pharmacy
1862 W. Bitters Rd Ste. 100
San Antonio
TX
210-718-0300
X
X
X
X
RoxSan Pharmacy
465 N. Roxbury Dr. Ground Floor
Beverly Hills
CA
(310) 273-1644 (310) 276-4152
X
X
X
X
X
X
Sobe Compounding Apothecary
13150 SW 134 St
Miami
FL
305-969-5410
305-969-5453
X
X
X
X
X
X
Stark Pharmacy
5701 W 119th Street
Overland Park
KS
913-345-3800
913-345-3803
X
X
X
X
X
X
X
Sugar Land Compounding Pharmacy
14823 Southwest Freeway, Suite B
Sugar Land
TX
X
X
X
X
X
X
The Apothecary Shoppe (Tulsa)
6136 E 51st Street
Tulsa
OK
(281) 302-6080 (281) 302-8259
918-665-2003 918-665-8283
X
X
X
X
X
X
X
The Apothecary Shoppe of BA
510 N Elm Place
Broken Arrow
OK
918-449-9988
918-449-9989
X
X
X
X
X
X
X
Transdermal Therapeutics, Inc.
211 Summit Pkwy Suite 124
Homewood
AL
877-581-5445
877-495-5445
X
Vasco Rx Specialty Pharmacy
4045 E Bell Rd Suite 163
Phoenix
AZ
(602) 971-6950 (602) 404-2504
X
X
X
X
X
X
X
Westchase Compounding Pharmacy
12617 Race Track Road
Tampa
FL
813-925-8200
X
X
X
X
X
X
X
Woodland Hills Pharmacy
20361 Ventura Blvd ste 305
Woodland Hills
CA
(855) 876-3060 (866) 893-9320
X
X
X
X
Xpress Compounding
1000 W. Weatherford St Suite 120
Fort Worth
TX
844-977-3770
X
X
X
X
Return to Instructions
Fax
210-255-1461
813-925-8933
817-887-5545
TOP
HRT PED NAS STR SUP PTD
X
X
X
X
X
X
X
X
* Return to Menu
Please Note: You may not see a pharmacy near you (or even in your state of residence) listed, however the
NCCP pharmacies listed for each state are licensed to dispense and ship compound medications to that state.
Not all NCCP pharmacies participate in all networks.
Please verify the compound credentialed pharmacy participates in your Plan’s network.
10-24-2016
OREGON (OR)
Pharmacy Name
Address
City
State Phone
Fax
Advanced Infusion Solutions
623 Highland Colony Parkway Suite 100
Ridgeland
MS
877-443-4006
888-298-2220
America's Best Care Plus, Inc
1825 Everett Drive W.
Fort Payne
AL
800-638-6305
800-638-0294
X
X
X
Anderson Compounding Pharmacy
310 Bluff City Highway
Bristol
TN
423-764-4136
423-764-5167
X
X
X
Assured Rx
13555 Automobile Blvd Suite 230
Clearwater
FL
727-451-6815
888-209-4962
X
Athena Pharmacy
2025 N. Mt. Julliet Rd. Suite 100
Mt Juliet
TN
615-288-4037
615-288-4061
X
X
X
X
Avella of Deer Valley, Inc.
23620 N 20th Drive Suite 12
Phoenix
AZ
877-792-7684
866-792-7684
X
X
X
X
Broadway Apothecary
1515 Oak Street
Eugene
OR
541-684-9352
541-684-0858
X
X
X
X
Central Avenue Pharmacy, Inc
133 Fifteenth Street
Pacific Grove
CA
831-373-1225
831-373-3705
X
X
X
X
Central Rexall Drugs, Inc
125 E. Thomas Street
Hammond
LA
985-345-5120
985-345-5178
X
X
X
X
Conversio Health
720 Aerovista Place Suite D
San Luis Obispo
CA
(866) 239-3784 (800) 977-9255
Custom Meds, Inc.
102 E Highland Blvd
Inverness
FL
352-341-1212
352-341-2626
X
X
Essential Pharmacy Compounding
620 N 114 Street
Omaha
NE
402-408-0015
402-408-0020
X
X
Foothills Professional Pharmacy
4545 E. Chandler #100
Phoenix
AZ
480-496-4444
480-496-4450
X
X
Foundation Care, LLC
4010 Wedgeway Court
Earth City
MO
314-291-1122
314-291-1133
X
Fusion Rx Compounding Pharmacy
Fusion Specialty Pharmacy
2001 Westwood Blvd. Suite A
1100 Canyon View Drive Suite C
Los Angeles
Santa Clara
CA
UT
(310) 204-6676 (310) 204-6678
435-703-9680 435-703-9681
Imprimis Rx
780 Primos Ave Unit E
Folcroft
PA
(888) 824-8100 (866) 302-7625
Infinity Compounding Solutions
1204 SE 28th Street Suite 2
Bentonville
AR
888-414-5805
855-422-2400
X
X
X
X
Inverness Apothecary Trinity
24333 Gordon Terry Parkway Suite B
Trinity
AL
256-260-3350
256-260-3351
X
X
X
X
ITC Compounding & Natural Wellness Pharmacy
651 Topeka Way Ste 600
Castle Rock
CO
303-663-4224
303-663-4263
X
X
X
X
Lake Side Pharmacy
10005 AL Hwy 9 N
Cedar Bluff
AL
256-422-5010
866-609-4582
X
Lee Silsby Compounding Pharmacy
3216 Silsby Rd
Cleveland Heights OH
216-321-4300
216-321-4303
X
X
X
Magnolia Specialty Pharmacy
163 Turtle Creek Drive Suite 130
Hattiesburg
MS
877-871-3935
888-990-0575
X
X
X
MasterPharm
115-02 Liberty Avenue
Richmond Hill
NY
718-529-5500
718-529-2780
X
X
X
Medaus Pharmacy
6801 Cahaba Valley Rd Suite 116
Birmingham
AL
(205) 981-2352 (205) 981-2767
X
X
X
Millers Compounding Pharmacy
678 Wyckoff Avenue
Wyckoff
NJ
888-891-3334
X
X
X
X
National Specialty Pharmacy LLC
2970 St. Rose Parkway #120
Henderson
NV
(702) 832-3320 (702) 425-9704
X
Owens Healthcare #8
2025 Court Street Suite B
Redding
CA
530-244-8669
530-243-0687
X
X
X
X
Park Compounding
9257 Research Dr
Irvine
CA
949-551-7195
949-551-1950
X
X
X
X
Pentec Health, Inc.
4 Creek Parkway
Boothwyn
PA
800-223-4376
610-494-7328
Pharmacy Creations
540 Route 10 West
Randolph
NJ
973-328-8756
973-328-8731
X
Pharmacy Innovations
2936 W. 17th ST
Erie
PA
814-838-2102
814-838-2103
X
X
Pharmacy Link
3648 Vann Road Building II Suite 116
Birmingham
AL
866-332-6966
866-374-4761
X
X
X
Pinnacle Compounding
1120 Kensington Ave. Ste. E
Missoula
MT
(406) 541-6121 (406) 541-6267
X
X
X
Riverpoint Pharmacy
528 E Spokane Fall Blvd #110
Spokane
WA
509-343-6252
X
X
X
RoxSan Pharmacy
465 N. Roxbury Dr. Ground Floor
Beverly Hills
CA
(310) 273-1644 (310) 276-4152
X
X
X
X
Sobe Compounding Apothecary
13150 SW 134 St
Miami
FL
305-969-5410
X
X
X
X
Vasco Rx Specialty Pharmacy
4045 E Bell Rd Suite 163
Phoenix
AZ
(602) 971-6950 (602) 404-2504
X
X
X
X
Woodland Hills Pharmacy
20361 Ventura Blvd ste 305
Woodland Hills
CA
(855) 876-3060 (866) 893-9320
X
X
X
X
Return to Instructions
866-891-3334
509-343-6251
305-969-5453
TOP
HRT PED NAS STR SUP PTD
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
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X
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X
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X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
* Return to Menu
Please Note: You may not see a pharmacy near you (or even in your state of residence) listed, however the
NCCP pharmacies listed for each state are licensed to dispense and ship compound medications to that state.
Not all NCCP pharmacies participate in all networks.
Please verify the compound credentialed pharmacy participates in your Plan’s network.
10-24-2016
PENNSYLVANIA (PA)
Pharmacy Name
Address
City
State Phone
Fax
Advanced Infusion Solutions
623 Highland Colony Parkway Suite 100
Ridgeland
MS
877-443-4006
888-298-2220
Anderson Compounding Pharmacy
310 Bluff City Highway
Bristol
TN
423-764-4136
423-764-5167
X
Assured Rx
13555 Automobile Blvd Suite 230
Clearwater
FL
727-451-6815
888-209-4962
X
Boothwyn Pharmacy
2341 Chichester Ave
Boothwyn
PA
610-485-1130
610-485-9223
X
X
X
Chemistry Rx
829 Spruce Street Suite 100
Philadelphia
PA
855-790-0100
267-861-0862
X
X
X
Compound Care Plus Pharmacy
1410 Highway 98 Unit G
Daphne
AL
866-832-2263
866-832-2264
X
X
X
Compounding Docs Inc
5499 N Federal Hwy Suite G
Boca Raton
FL
561-826-0711
561-826-0717
X
X
X
Custom Meds, Inc.
102 E Highland Blvd
Inverness
FL
352-341-1212
352-341-2626
X
X
Diabetes Corporation of America
4701 Trousdale Drive
Nashville
TN
877-730-5770
877-327-9174
X
X
X
Foundation Care, LLC
4010 Wedgeway Court
Earth City
MO
314-291-1122
314-291-1133
X
Fusion Rx Compounding Pharmacy
2001 Westwood Blvd. Suite A
Los Angeles
CA
(310) 204-6676 (310) 204-6678
X
X
X
Haldey Pharmaceutical Compounding
2510 Westchester Ave Suite 207
Bronx
NY
855-426-6768
855-326-6768
X
X
X
Harbor Compounding and Home Healthcare
2000 Harbor Blvd Suite C100
Costa Mesa
CA
949-642-0106
949-642-5039
X
X
X
X
Harrold's Pharmacy
Wilkes Barre
Tampa
PA
FL
570-822-5794
813-839-8861
570-824-8730
813-839-8941
X
X
X
X
X
Hoye's Pharmacy
250 Old River Road
4330 South Manhattan Avenue
X
X
X
X
X
Imprimis Rx
780 Primos Ave Unit E
Folcroft
PA
(888) 824-8100 (866) 302-7625
Infinity Compounding Solutions
1204 SE 28th Street Suite 2
Bentonville
AR
888-414-5805
855-422-2400
X
X
X
X
Medical Center Pharmacy
912 S. 16th Street
Wilmington
NC
910-763-1896
910-763-1709
X
X
X
X
X
Millers Compounding Pharmacy
678 Wyckoff Avenue
Wyckoff
NJ
888-891-3334
866-891-3334
X
X
X
X
X
Pentec Health, Inc.
4 Creek Parkway
Boothwyn
PA
800-223-4376
610-494-7328
X
Pentec Health, Inc.
120 Forbes Blvd Suite 140
Mansfield
MA
800-233-4376
610-494-7328
X
Pharmacy Innovations
2936 W. 17th ST
Erie
PA
814-838-2102
814-838-2103
X
X
Pharmacy Link
3648 Vann Road Building II Suite 116
Birmingham
AL
866-332-6966
866-374-4761
X
X
Pharmacy Solutions
5204 Jackson Road Suite C
Ann Arbor
MI
(734) 821-8000 (734) 821-8001
X
X
X
Phusion Pharmacy
17 Coventry Shoppers Park
Coventry
RI
401-823-0000
X
X
X
Pinnacle Compounding
1120 Kensington Ave. Ste. E
Missoula
MT
(406) 541-6121 (406) 541-6267
X
X
Professional Compounding Pharmacists
111 2nd Street Suite 100
3740 St. Johns Bluff Road #19
Leechburg
Jacksonville
PA
FL
877-883-9300
904-361-3861
877-883-9301
904-361-3866
X
X
X
Smart Pharmacy
X
X
X
X
X
Smart Pharmacy
14003 Beach Blvd
Jacksonville
FL
904-503-5030
904-361-3866
X
X
X
X
X
Specialty Chemist Corp.
65-60 Fresh Meadow Lane
Fresh Meadows NY
(718) 353-2595 (718) 886-8658
X
X
Sunquest Pharmaceuticals
150 Eileen Way Suite 1
Syosset
NY
516-513-0799
516-677-6050
X
X
X
X
Trinity Medical Pharmacy
9332 State Road 54 Suite 203
New Port Richey FL
727-495-6979
727-213-6979
X
X
X
X
X
X
V.L.S. Pharmacy, Inc.
4402 5th Avenue
Brooklyn
NY
(718) 854-1384 (718) 854-4313
X
X
X
X
X
X
X
Vasco Rx Specialty Pharmacy
4045 E Bell Rd Suite 163
Phoenix
AZ
(602) 971-6950 (602) 404-2504
X
X
X
X
X
X
X
Xpress Compounding
1000 W. Weatherford St Suite 120
Fort Worth
TX
844-977-3770
X
X
X
X
X
X
Return to Instructions
401-823-0300
817-887-5545
TOP
HRT PED NAS STR SUP PTD
X
X
X
X
X
X
X
X
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X
X
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X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
* Return to Menu
Please Note: You may not see a pharmacy near you (or even in your state of residence) listed, however the
NCCP pharmacies listed for each state are licensed to dispense and ship compound medications to that state.
Not all NCCP pharmacies participate in all networks.
Please verify the compound credentialed pharmacy participates in your Plan’s network.
10-24-2016
RHODE ISLAND (RI)
Pharmacy Name
Address
City
State Phone
Fax
Acton Pharmacy Inc
563 Massachusetts Ave
Acton
MA
978-263-3901
978-263-3901
Advanced Infusion Solutions
623 Highland Colony Parkway Suite 100
Ridgeland
MS
877-443-4006
888-298-2220
America's Best Care Plus, Inc
1825 Everett Drive W.
Fort Payne
AL
800-638-6305
800-638-0294
X
X
X
America's Compounding Center
153 California St.
Newton
MA
617-527-1563
617-527-1565
X
X
X
Anderson Compounding Pharmacy
310 Bluff City Highway
Bristol
TN
423-764-4136
423-764-5167
X
X
X
Ashland Health
12 N. Catherine Ave
La Grange
IL
708-482-4000
708-482-4004
X
Assured Rx
13555 Automobile Blvd Suite 230
Clearwater
FL
727-451-6815
888-209-4962
X
Athena Pharmacy
2025 N. Mt. Julliet Rd. Suite 100
Mt Juliet
TN
615-288-4037
615-288-4061
X
X
Auxilium Specialty Apothecary Pharmacy
16 Keystone Drive Suite B
Hattiesburg
MS
877-847-4612
888-615-6578
X
X
Avella of Deer Valley, Inc.
23620 N 20th Drive Suite 12
Phoenix
AZ
877-792-7684
866-792-7684
X
X
X
X
Birds Hill Pharmacy
401 Great Plain Ave
Needham
MA
781-449-0550
781-449-7993
X
X
X
X
Boothwyn Pharmacy
2341 Chichester Ave
Boothwyn
PA
610-485-1130
610-485-9223
X
X
X
Central Avenue Pharmacy, Inc
133 Fifteenth Street
Pacific Grove
CA
831-373-1225
831-373-3705
X
X
X
X
Central Rexall Drugs, Inc
125 E. Thomas Street
Hammond
LA
985-345-5120
985-345-5178
X
X
X
X
Century Pharmacy LLC
37 W. Century Rd Suite 113
Paramus
NJ
201-261-6479
201-261-9479
X
Conversio Health
720 Aerovista Place Suite D
San Luis Obispo
CA
(866) 239-3784 (800) 977-9255
Curexa
3007 Ocean Heights Ave
Egg Harbor Township NJ
609-927-0390
609-927-0392
X
X
Custom Meds, Inc.
102 E Highland Blvd
Inverness
FL
352-341-1212
352-341-2626
X
X
Custom Pharmacy Solutions
2637 Valleydale Rd.
Birmingham
AL
866-988-3383
866-988-3553
X
X
DermaTran Health Solutions
2700 Stanley Gault Pkwy, Ste 103
Louisville
KY
855-675-5240
844-265-1995
X
DermaTran Health Solutions
85 Technology Pkwy NW
Rome
GA
855-675-5240
844-265-1995
X
Eastern States Compounding Pharmacy
338 Union Street
Littleton
NH
603-444-0094
603-444-0095
X
X
X
X
X
Essential Pharmacy Compounding
620 N 114 Street
Omaha
NE
402-408-0015
402-408-0020
X
X
X
X
X
Foothills Professional Pharmacy
4545 E. Chandler #100
Phoenix
AZ
480-496-4444
480-496-4450
X
X
Foundation Care, LLC
4010 Wedgeway Court
Earth City
MO
314-291-1122
314-291-1133
X
Fusion Rx Compounding Pharmacy
2001 Westwood Blvd. Suite A
Los Angeles
CA
(310) 204-6676 (310) 204-6678
X
X
X
X
Hopewell Pharmacy
1 West Borad Street
4330 South Manhattan Avenue
Hopewell
Tampa
NJ
FL
609-466-1960
813-839-8861
X
X
X
X
X
X
Hoye's Pharmacy
X
X
X
X
X
X
Imprimis Rx
780 Primos Ave Unit E
Folcroft
PA
(888) 824-8100 (866) 302-7625
Infinity Compounding Solutions
1204 SE 28th Street Suite 2
Bentonville
AR
888-414-5805
855-422-2400
X
X
X
Innovation Compounding Inc
6095 Pine Mountain Road NW suite 108
Kennesaw
GA
770-421-1399
770-426-1965
X
X
X
X
X
Inverness Apothecary Trinity
24333 Gordon Terry Parkway Suite B
Trinity
AL
256-260-3350
256-260-3351
X
X
X
X
Johnson Compounding & Wellness
577 Main Street
Waltham
MA
781-893-3870
781-899-1172
X
X
X
X
X
X
X
Lee Silsby Compounding Pharmacy
3216 Silsby Rd
Cleveland Heights
OH
216-321-4300
216-321-4303
X
X
X
X
X
X
Magnolia Specialty Pharmacy
163 Turtle Creek Drive Suite 130
Hattiesburg
MS
877-871-3935
888-990-0575
X
X
X
X
X
MasterPharm
115-02 Liberty Avenue
Richmond Hill
NY
718-529-5500
718-529-2780
X
X
X
Medaus Pharmacy
6801 Cahaba Valley Rd Suite 116
Birmingham
AL
(205) 981-2352 (205) 981-2767
X
X
X
Millers Compounding Pharmacy
678 Wyckoff Avenue
Wyckoff
NJ
888-891-3334
X
X
X
X
X
X
X
National Specialty Pharmacy LLC
2970 St. Rose Parkway #120
Henderson
NV
(702) 832-3320 (702) 425-9704
X
Park Compounding
9257 Research Dr
Irvine
CA
949-551-7195
949-551-1950
X
X
X
X
X
X
X
Patient Care America
5371 Hiatus Road
Sunrise
FL
954-473-4717
954-473-9519
X
Pentec Health, Inc.
4 Creek Parkway
Boothwyn
PA
800-223-4376
610-494-7328
X
PerforMix Specialty Pharmacy
25 Pelham Rd
Salem
NH
603-870-9618
603-870-9621
X
Pharmacy Creations
540 Route 10 West
Randolph
NJ
973-328-8756
973-328-8731
X
Pharmacy Innovations
2936 W. 17th ST
Erie
PA
814-838-2102
814-838-2103
X
X
Pharmacy Innovations
4000 Park St
St. Petersburg
FL
727-381-0700
727-347-2050
X
X
Pharmacy Link
3648 Vann Road Building II Suite 116
Birmingham
AL
866-332-6966
866-374-4761
X
X
Pharmacy Solutions
5204 Jackson Road Suite C
Ann Arbor
MI
(734) 821-8000 (734) 821-8001
X
X
X
Phusion Pharmacy
17 Coventry Shoppers Park
Coventry
RI
401-823-0000
X
X
X
Pinnacle Compounding
1120 Kensington Ave. Ste. E
Missoula
MT
(406) 541-6121 (406) 541-6267
X
X
Return to Instructions
609-466-8222
813-839-8941
866-891-3334
401-823-0300
TOP
X
HRT PED NAS STR SUP PTD
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* Return to Menu
Please Note: You may not see a pharmacy near you (or even in your state of residence) listed, however the
NCCP pharmacies listed for each state are licensed to dispense and ship compound medications to that state.
Not all NCCP pharmacies participate in all networks.
Please verify the compound credentialed pharmacy participates in your Plan’s network.
10-24-2016
RHODE ISLAND (RI) –Continued
Pharmacy Name
Address
City
State Phone
Fax
RepublicRx Specialty Pharmacy
1862 W. Bitters Rd Ste. 100
San Antonio
TX
210-718-0300
210-255-1461
RoxSan Pharmacy
Smart Pharmacy
465 N. Roxbury Dr. Ground Floor
3740 St. Johns Bluff Road #19
Beverly Hills
Jacksonville
CA
FL
Specialty Chemist Corp.
65-60 Fresh Meadow Lane
Fresh Meadows
Topical Solutions Pharmacy
20612 N. Cave Creek Rd. #150
Transdermal Therapeutics, Inc.
211 Summit Pkwy Suite 124
V.L.S. Pharmacy, Inc.
TOP
HRT PED NAS STR SUP PTD
X
X
X
X
(310) 273-1644 (310) 276-4152
904-361-3861 904-361-3866
X
X
X
X
X
X
X
NY
(718) 353-2595 (718) 886-8658
X
X
Phoenix
AZ
(480) 351-8278 (480) 351-8277
X
Homewood
AL
877-581-5445
X
4402 5th Avenue
Brooklyn
NY
(718) 854-1384 (718) 854-4313
X
X
X
X
X
X
X
Vasco Rx Specialty Pharmacy
4045 E Bell Rd Suite 163
Phoenix
AZ
(602) 971-6950 (602) 404-2504
X
X
X
X
X
X
X
Westchase Compounding Pharmacy
12617 Race Track Road
Tampa
FL
813-925-8200
X
X
X
X
X
X
X
Woodland Hills Pharmacy
20361 Ventura Blvd ste 305
Woodland Hills
CA
(855) 876-3060 (866) 893-9320
X
X
X
X
Xpress Compounding
1000 W. Weatherford St Suite 120
Fort Worth
TX
844-977-3770
X
X
X
X
Return to Instructions
877-495-5445
813-925-8933
817-887-5545
X
X
X
X
X
X
X
X
X
X
X
X
* Return to Menu
Please Note: You may not see a pharmacy near you (or even in your state of residence) listed, however the
NCCP pharmacies listed for each state are licensed to dispense and ship compound medications to that state.
Not all NCCP pharmacies participate in all networks.
Please verify the compound credentialed pharmacy participates in your Plan’s network.
10-24-2016
SOUTH CAROLINA (SC)
Pharmacy Name
Address
City
State Phone
Fax
Advanced Infusion Solutions
623 Highland Colony Parkway Suite 100
Ridgeland
MS
877-443-4006
888-298-2220
Allcare Pharmacy and Healthcare Services
112 S. Oxley Drive
Lyons
GA
912-526-3200
912-526-5960
X
X
X
America's Best Care Plus, Inc
1825 Everett Drive W.
Fort Payne
AL
800-638-6305
800-638-0294
X
X
X
Anderson Compounding Pharmacy
310 Bluff City Highway
Bristol
TN
423-764-4136
423-764-5167
X
X
X
Assured Rx
13555 Automobile Blvd Suite 230
Clearwater
FL
727-451-6815
888-209-4962
X
Athena Pharmacy
2025 N. Mt. Julliet Rd. Suite 100
Mt Juliet
TN
615-288-4037
615-288-4061
X
X
X
X
Avella of Deer Valley, Inc.
23620 N 20th Drive Suite 12
Phoenix
AZ
877-792-7684
866-792-7684
X
X
X
X
Boothwyn Pharmacy
2341 Chichester Ave
Boothwyn
PA
610-485-1130
610-485-9223
X
X
X
Carolina Compounding & Nutritional Pharmacy
7825 Ballantyne Commons Parkway Suite 230
Charlotte
NC
704-540-4330
704-540-4660
X
X
X
X
X
X
Central Rexall Drugs, Inc
125 E. Thomas Street
Hammond
LA
985-345-5120
985-345-5178
X
X
X
X
X
X
Compound Care Plus Pharmacy
1410 Highway 98 Unit G
Daphne
AL
866-832-2263
866-832-2264
X
X
X
Compound Pharmaceutical Technologies
1048 Stanton Road Suite B
Daphne
AL
251-626-2820
251-626-2850
X
X
X
Conversio Health
720 Aerovista Place Suite D
San Luis Obispo
CA
(866) 239-3784 (800) 977-9255
Custom Meds, Inc.
102 E Highland Blvd
Inverness
FL
352-341-1212
352-341-2626
X
X
Custom Pharmacy Solutions
2637 Valleydale Rd.
Birmingham
AL
866-988-3383
866-988-3553
X
X
DermaTran Health Solutions
2700 Stanley Gault Pkwy, Ste 103
Louisville
KY
855-675-5240
844-265-1995
X
DermaTran Health Solutions
85 Technology Pkwy NW
Rome
GA
855-675-5240
844-265-1995
X
Essential Pharmacy Compounding
620 N 114 Street
Omaha
NE
402-408-0015
402-408-0020
X
X
X
X
X
X
X
Everwell Specialty Pharmacy
825 E. Burgess Road
Pensacola
FL
850-473-9190
850-473-9935
X
X
X
X
X
X
X
Foothills Professional Pharmacy
4545 E. Chandler #100
Phoenix
AZ
480-496-4444
480-496-4450
X
X
Foundation Care, LLC
4010 Wedgeway Court
Earth City
MO
314-291-1122
314-291-1133
X
Fusion Rx Compounding Pharmacy
2001 Westwood Blvd. Suite A
Los Angeles
CA
(310) 204-6676 (310) 204-6678
X
X
X
X
Hopewell Pharmacy
1 West Borad Street
4330 South Manhattan Avenue
Hopewell
Tampa
NJ
FL
609-466-1960
813-839-8861
X
X
X
X
X
X
Hoye's Pharmacy
X
X
X
X
X
X
Imprimis Rx
780 Primos Ave Unit E
Folcroft
PA
(888) 824-8100 (866) 302-7625
Infinity Compounding Solutions
1204 SE 28th Street Suite 2
Bentonville
AR
888-414-5805
855-422-2400
X
X
X
Innovation Compounding Inc
6095 Pine Mountain Road NW suite 108
Kennesaw
GA
770-421-1399
770-426-1965
X
X
X
X
X
Inverness Apothecary Trinity
24333 Gordon Terry Parkway Suite B
Trinity
AL
256-260-3350
256-260-3351
X
X
X
X
ITC Compounding & Natural Wellness Pharmacy
651 Topeka Way Ste 600
Castle Rock
CO
303-663-4224
303-663-4263
X
X
X
X
Lake Side Pharmacy
10005 AL Hwy 9 N
Cedar Bluff
AL
256-422-5010
866-609-4582
X
Lee Silsby Compounding Pharmacy
3216 Silsby Rd
Cleveland Heights OH
216-321-4300
216-321-4303
X
X
X
Magnolia Specialty Pharmacy
163 Turtle Creek Drive Suite 130
Hattiesburg
MS
877-871-3935
888-990-0575
X
X
X
MasterPharm
115-02 Liberty Avenue
Richmond Hill
NY
718-529-5500
718-529-2780
X
X
X
Medaus Pharmacy
6801 Cahaba Valley Rd Suite 116
Birmingham
AL
(205) 981-2352 (205) 981-2767
X
X
X
Medical Center Pharmacy
912 S. 16th Street
Wilmington
NC
910-763-1896
910-763-1709
X
X
X
X
X
Millers Compounding Pharmacy
678 Wyckoff Avenue
Wyckoff
NJ
888-891-3334
866-891-3334
X
X
X
X
X
Patient Care America
5371 Hiatus Road
Sunrise
FL
954-473-4717
954-473-9519
X
X
Pentec Health, Inc.
4 Creek Parkway
Boothwyn
PA
800-223-4376
610-494-7328
X
X
Pharmacy Creations
540 Route 10 West
Randolph
NJ
973-328-8756
973-328-8731
X
Pharmacy Innovations
620 Congaree Road Suite F
Greenville
SC
864-241-0477
864-241-0843
X
Pharmacy Innovations
2936 W. 17th ST
Erie
PA
814-838-2102
814-838-2103
X
Pharmacy Link
Birmingham
AL
Altamonte Springs FL
866-332-6966
407-260-7002
866-374-4761
407-260-7044
X
X
Pharmacy Specialists
3648 Vann Road Building II Suite 116
393 Maitland Ave
X
X
Premier Pharmacy Inc.
109 Jack White Dr
Kingsport
TN
423-245-1022
423-245-6391
X
X
Professional Arts Pharmacy
128 Curran Lane
Lafayette
LA
337-991-0101
337-991-0151
X
X
X
X
RoxSan Pharmacy
465 N. Roxbury Dr. Ground Floor
Beverly Hills
CA
(310) 273-1644 (310) 276-4152
X
X
X
X
X
X
X
Rx3 Compounding Pharmacy
Chester
Jacksonville
VA
FL
804-717-5000
904-503-5030
804-717-8300
904-361-3866
X
X
X
X
X
X
X
Smart Pharmacy
12230 Ironbridge Rd Suite C
14003 Beach Blvd
X
X
X
X
X
TPS
3524 Decatur Highway Suite 302
Fultondale
AL
205-608-4995
205-608-2718
X
Transdermal Therapeutics, Inc.
211 Summit Pkwy Suite 124
Homewood
AL
877-581-5445
877-495-5445
X
Trinity Medical Pharmacy
9332 State Road 54 Suite 203
New Port Richey
FL
727-495-6979
727-213-6979
X
X
X
X
Vasco Rx Specialty Pharmacy
4045 E Bell Rd Suite 163
Phoenix
AZ
(602) 971-6950 (602) 404-2504
X
X
X
X
Return to Instructions
609-466-8222
813-839-8941
TOP
HRT PED NAS STR SUP PTD
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
* Return to Menu
Please Note: You may not see a pharmacy near you (or even in your state of residence) listed, however the
NCCP pharmacies listed for each state are licensed to dispense and ship compound medications to that state.
Not all NCCP pharmacies participate in all networks.
Please verify the compound credentialed pharmacy participates in your Plan’s network.
10-24-2016
SOUTH DAKOTA (SD)
Pharmacy Name
Address
City
State Phone
Fax
Advanced Infusion Solutions
623 Highland Colony Parkway Suite 100
Ridgeland
MS
877-443-4006
888-298-2220
TOP
HRT PED NAS STR SUP PTD
America's Best Care Plus, Inc
1825 Everett Drive W.
Fort Payne
AL
800-638-6305
800-638-0294
X
X
X
America's Compounding Center
153 California St.
Newton
MA
617-527-1563
617-527-1565
X
X
X
Anderson Compounding Pharmacy
310 Bluff City Highway
Bristol
TN
423-764-4136
423-764-5167
X
X
X
Ashland Health
12 N. Catherine Ave
La Grange
IL
708-482-4000
708-482-4004
X
Assured Rx
13555 Automobile Blvd Suite 230
Clearwater
FL
727-451-6815
888-209-4962
X
Athena Pharmacy
2025 N. Mt. Julliet Rd. Suite 100
Mt Juliet
TN
615-288-4037
615-288-4061
X
X
Auxilium Specialty Apothecary Pharmacy
16 Keystone Drive Suite B
Hattiesburg
MS
877-847-4612
888-615-6578
X
X
Avella of Deer Valley, Inc.
23620 N 20th Drive Suite 12
Phoenix
AZ
877-792-7684
866-792-7684
X
X
X
X
Central Rexall Drugs, Inc
125 E. Thomas Street
Hammond
LA
985-345-5120
985-345-5178
X
X
X
X
Century Pharmacy LLC
37 W. Century Rd Suite 113
Paramus
NJ
201-261-6479
201-261-9479
X
Compound Care Plus Pharmacy
1410 Highway 98 Unit G
Daphne
AL
866-832-2263
866-832-2264
X
Comprehensive Wellness Pharmacy
2269 Wilma Rudolph Blvd. Suite 103
Clarksville
TN
(855) 806-6042
Conversio Health
720 Aerovista Place Suite D
San Luis Obispo
CA
(866) 239-3784 (800) 977-9255
Curexa
3007 Ocean Heights Ave
Egg Harbor Township NJ
609-927-0390
609-927-0392
X
X
Custom Meds, Inc.
102 E Highland Blvd
Inverness
FL
352-341-1212
352-341-2626
X
X
Custom Pharmacy Solutions
2637 Valleydale Rd.
Birmingham
AL
866-988-3383
866-988-3553
X
X
DermaTran Health Solutions
2700 Stanley Gault Pkwy, Ste 103
Louisville
KY
855-675-5240
844-265-1995
X
DermaTran Health Solutions
85 Technology Pkwy NW
Rome
GA
855-675-5240
844-265-1995
X
Eldon Drug Company
101 S. Maple Street
Eldon
MO
573-392-4588
573-392-4425
X
X
X
Essential Pharmacy Compounding
620 N 114 Street
Omaha
NE
402-408-0015
402-408-0020
X
X
X
Foothills Professional Pharmacy
4545 E. Chandler #100
Phoenix
AZ
480-496-4444
480-496-4450
X
X
Foundation Care, LLC
4010 Wedgeway Court
Earth City
MO
314-291-1122
314-291-1133
X
Fusion Rx Compounding Pharmacy
2001 Westwood Blvd. Suite A
Los Angeles
CA
(310) 204-6676 (310) 204-6678
Imprimis Rx
780 Primos Ave Unit E
Folcroft
PA
(888) 824-8100 (866) 302-7625
Infinity Compounding Solutions
1204 SE 28th Street Suite 2
Bentonville
AR
888-414-5805
Innovation Compounding Inc
6095 Pine Mountain Road NW suite 108
Kennesaw
GA
Inverness Apothecary Trinity
24333 Gordon Terry Parkway Suite B
Trinity
ITC Compounding & Natural Wellness Pharmacy
651 Topeka Way Ste 600
Kohana Pharmacy
Lee Silsby Compounding Pharmacy
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
855-422-2400
X
X
X
770-421-1399
770-426-1965
X
X
X
AL
256-260-3350
256-260-3351
X
X
X
X
Castle Rock
CO
303-663-4224
303-663-4263
X
X
X
X
181 Tank Farm Road Suite 120
San Luis Obispo
CA
805-542-0864
805-542-0867
X
X
X
X
3216 Silsby Rd
Cleveland Heights
OH
216-321-4300
216-321-4303
X
X
X
Magnolia Specialty Pharmacy
163 Turtle Creek Drive Suite 130
Hattiesburg
MS
877-871-3935
888-990-0575
X
X
X
MasterPharm
115-02 Liberty Avenue
Richmond Hill
NY
718-529-5500
718-529-2780
X
X
X
Medaus Pharmacy
6801 Cahaba Valley Rd Suite 116
Birmingham
AL
(205) 981-2352 (205) 981-2767
X
X
X
Millers Compounding Pharmacy
678 Wyckoff Avenue
Wyckoff
NJ
888-891-3334
X
X
X
X
X
X
X
National Specialty Pharmacy LLC
2970 St. Rose Parkway #120
Henderson
NV
(702) 832-3320 (702) 425-9704
X
Park Compounding
9257 Research Dr
Irvine
CA
949-551-7195
949-551-1950
X
X
X
X
X
X
X
Pentec Health, Inc.
4 Creek Parkway
Boothwyn
PA
800-223-4376
610-494-7328
Pharmacy Creations
540 Route 10 West
Randolph
NJ
973-328-8756
973-328-8731
X
Pharmacy Innovations
2936 W. 17th ST
Erie
PA
814-838-2102
814-838-2103
X
X
Pharmacy Link
3648 Vann Road Building II Suite 116
Birmingham
AL
866-332-6966
866-374-4761
X
X
RepublicRx Specialty Pharmacy
1862 W. Bitters Rd Ste. 100
San Antonio
TX
210-718-0300
210-255-1461
X
X
RoxSan Pharmacy
465 N. Roxbury Dr. Ground Floor
3740 St. Johns Bluff Road #19
Beverly Hills
Jacksonville
CA
FL
(310) 273-1644 (310) 276-4152
904-361-3861 904-361-3866
X
Smart Pharmacy
X
Specialty Chemist Corp.
65-60 Fresh Meadow Lane
Fresh Meadows
NY
(718) 353-2595 (718) 886-8658
X
X
Stark Pharmacy
5701 W 119th Street
Overland Park
KS
913-345-3800
X
X
X
X
X
X
Topical Solutions Pharmacy
20612 N. Cave Creek Rd. #150
Phoenix
AZ
(480) 351-8278 (480) 351-8277
X
Vasco Rx Specialty Pharmacy
4045 E Bell Rd Suite 163
Phoenix
AZ
(602) 971-6950 (602) 404-2504
X
X
X
X
X
X
Woodland Hills Pharmacy
20361 Ventura Blvd ste 305
Woodland Hills
CA
(855) 876-3060 (866) 893-9320
X
X
X
X
Xpress Compounding
1000 W. Weatherford St Suite 120
Fort Worth
TX
844-977-3770
X
X
X
X
Return to Instructions
866-891-3334
913-345-3803
817-887-5545
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
* Return to Menu
Please Note: You may not see a pharmacy near you (or even in your state of residence) listed, however the
NCCP pharmacies listed for each state are licensed to dispense and ship compound medications to that state.
Not all NCCP pharmacies participate in all networks.
Please verify the compound credentialed pharmacy participates in your Plan’s network.
10-24-2016
TENNESSEE (TN)
Pharmacy Name
Address
City
State Phone
Fax
Advanced Infusion Solutions
623 Highland Colony Parkway Suite 100
Ridgeland
MS
877-443-4006
888-298-2220
America's Best Care Plus, Inc
1825 Everett Drive W.
Fort Payne
AL
800-638-6305
800-638-0294
X
X
X
America's Compounding Center
153 California St.
Newton
MA
617-527-1563
617-527-1565
X
X
X
Anderson Compounding Pharmacy
310 Bluff City Highway
Bristol
TN
423-764-4136
423-764-5167
X
X
X
Assured Rx
13555 Automobile Blvd Suite 230
Clearwater
FL
727-451-6815
888-209-4962
X
Athena Pharmacy
2025 N. Mt. Julliet Rd. Suite 100
Mt Juliet
TN
615-288-4037
615-288-4061
X
X
X
X
Avella of Deer Valley, Inc.
23620 N 20th Drive Suite 12
Phoenix
AZ
877-792-7684
866-792-7684
X
X
X
X
Boothwyn Pharmacy
2341 Chichester Ave
Boothwyn
PA
610-485-1130
610-485-9223
X
X
X
Central Avenue Pharmacy, Inc
133 Fifteenth Street
Pacific Grove
CA
831-373-1225
831-373-3705
X
X
X
X
Central Rexall Drugs, Inc
125 E. Thomas Street
Hammond
LA
985-345-5120
985-345-5178
X
X
X
X
Compound Care Plus Pharmacy
1410 Highway 98 Unit G
Daphne
AL
866-832-2263
866-832-2264
X
X
X
Compound Pharmaceutical Technologies
1048 Stanton Road Suite B
Daphne
AL
251-626-2820
251-626-2850
X
X
X
Comprehensive Wellness Pharmacy
2269 Wilma Rudolph Blvd. Suite 103
Clarksville
TN
(855) 806-6042
Conversio Health
720 Aerovista Place Suite D
San Luis Obispo
CA
(866) 239-3784 (800) 977-9255
Curexa
3007 Ocean Heights Ave
Egg Harbor Township NJ
609-927-0390
609-927-0392
X
X
Custom Meds, Inc.
102 E Highland Blvd
Inverness
FL
352-341-1212
352-341-2626
X
X
Custom Pharmacy Solutions
2637 Valleydale Rd.
Birmingham
AL
866-988-3383
866-988-3553
X
X
DermaTran Health Solutions
2700 Stanley Gault Pkwy, Ste 103
Louisville
KY
855-675-5240
844-265-1995
X
DermaTran Health Solutions
85 Technology Pkwy NW
Rome
GA
855-675-5240
844-265-1995
X
Diabetes Corporation of America
4701 Trousdale Drive
Nashville
TN
877-730-5770
877-327-9174
X
X
X
Essential Pharmacy Compounding
620 N 114 Street
Omaha
NE
402-408-0015
402-408-0020
X
X
X
Family Pharmacy
2653 Bruce B Downs Blvd Suite 115
Wesley Chapel
FL
813-991-9500
813-991-9600
X
X
X
Foothills Professional Pharmacy
4545 E. Chandler #100
Phoenix
AZ
480-496-4444
480-496-4450
X
X
Foundation Care, LLC
4010 Wedgeway Court
Earth City
MO
314-291-1122
314-291-1133
X
Fountain Plaza Pharmacy
2825 W. Andrew Johnson Hwy
Morristown
TN
(423) 307-5757 (423) 307-5241
X
X
X
X
Fusion Rx Compounding Pharmacy
2001 Westwood Blvd. Suite A
Los Angeles
CA
(310) 204-6676 (310) 204-6678
X
X
X
X
Hopewell Pharmacy
1 West Borad Street
4330 South Manhattan Avenue
Hopewell
Tampa
NJ
FL
609-466-1960
813-839-8861
X
X
X
X
X
X
Hoye's Pharmacy
X
X
X
X
X
X
Imprimis Rx
780 Primos Ave Unit E
Folcroft
PA
(888) 824-8100 (866) 302-7625
Infinity Compounding Solutions
1204 SE 28th Street Suite 2
Bentonville
AR
888-414-5805
855-422-2400
X
X
X
Innovation Compounding Inc
6095 Pine Mountain Road NW suite 108
Kennesaw
GA
770-421-1399
770-426-1965
X
X
X
X
X
Inverness Apothecary South Texas Inc
5009 S McColl Rd Suite A
Edinburg
TX
956-467-0246
956-688-8967
X
X
X
X
X
Inverness Apothecary Trinity
24333 Gordon Terry Parkway Suite B
Trinity
AL
256-260-3350
256-260-3351
X
X
X
X
X
ITC Compounding & Natural Wellness Pharmacy
651 Topeka Way Ste 600
Castle Rock
CO
303-663-4224
303-663-4263
X
X
X
X
Lake Side Pharmacy
10005 AL Hwy 9 N
Cedar Bluff
AL
256-422-5010
866-609-4582
X
Lee Silsby Compounding Pharmacy
3216 Silsby Rd
Cleveland Heights
OH
216-321-4300
216-321-4303
X
X
X
Magnolia Specialty Pharmacy
163 Turtle Creek Drive Suite 130
Hattiesburg
MS
877-871-3935
888-990-0575
X
X
X
MasterPharm
115-02 Liberty Avenue
Richmond Hill
NY
718-529-5500
718-529-2780
X
X
X
Medaus Pharmacy
6801 Cahaba Valley Rd Suite 116
Birmingham
AL
(205) 981-2352 (205) 981-2767
X
X
X
Millers Compounding Pharmacy
678 Wyckoff Avenue
Wyckoff
NJ
888-891-3334
866-891-3334
X
X
X
X
X
X
X
Park Compounding
9257 Research Dr
Irvine
CA
949-551-7195
949-551-1950
X
X
X
X
X
X
X
Patient Care America
5371 Hiatus Road
Sunrise
FL
954-473-4717
954-473-9519
X
X
Pentec Health, Inc.
4 Creek Parkway
Boothwyn
PA
800-223-4376
610-494-7328
X
X
Pharmacy Creations
540 Route 10 West
Randolph
NJ
973-328-8756
973-328-8731
X
Pharmacy Innovations
2936 W. 17th ST
Erie
PA
814-838-2102
814-838-2103
X
X
Pharmacy Link
3648 Vann Road Building II Suite 116
Birmingham
AL
866-332-6966
866-374-4761
X
X
Pharmacy Solutions
5204 Jackson Road Suite C
Ann Arbor
MI
(734) 821-8000 (734) 821-8001
X
X
X
Phusion Pharmacy
17 Coventry Shoppers Park
Coventry
RI
401-823-0000
401-823-0300
X
X
X
X
Precision Compounding Pharmacy
2113 State Street
New Albany
IN
812-941-9300
812-941-9417
X
X
X
X
X
Premier Pharmacy Inc.
109 Jack White Dr
Kingsport
TN
423-245-1022
423-245-6391
X
X
X
X
Return to Instructions
TOP
HRT PED NAS STR SUP PTD
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
609-466-8222
813-839-8941
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
* Return to Menu
Please Note: You may not see a pharmacy near you (or even in your state of residence) listed, however the
NCCP pharmacies listed for each state are licensed to dispense and ship compound medications to that state.
Not all NCCP pharmacies participate in all networks.
Please verify the compound credentialed pharmacy participates in your Plan’s network.
10-24-2016
TENNESSEE (TN) – Continued
Pharmacy Name
Address
City
State Phone
ProCompounding Pharmacy
527 N. State of Franklin Rd. Suite 2
Johnson City
TN
(423) 975-0597 (423) 975-6304
X
X
X
X
Professional Arts Pharmacy
128 Curran Lane
Lafayette
LA
337-991-0101
X
X
X
X
RoxSan Pharmacy
465 N. Roxbury Dr. Ground Floor
Beverly Hills
CA
(310) 273-1644 (310) 276-4152
X
X
X
X
Topical Solutions Pharmacy
20612 N. Cave Creek Rd. #150
Phoenix
AZ
(480) 351-8278 (480) 351-8277
X
Transdermal Therapeutics, Inc.
211 Summit Pkwy Suite 124
Homewood
AL
877-581-5445
877-495-5445
X
Trinity Medical Pharmacy
9332 State Road 54 Suite 203
New Port Richey
FL
727-495-6979
727-213-6979
X
X
X
X
Vasco Rx Specialty Pharmacy
4045 E Bell Rd Suite 163
Phoenix
AZ
(602) 971-6950 (602) 404-2504
X
X
X
X
Volunteer Pharmacy
2403 US Highway 411 South
Maryville
TN
(865) 724-1453 (865) 724-1601
X
X
X
Woodland Hills Pharmacy
20361 Ventura Blvd ste 305
Woodland Hills
CA
(855) 876-3060 (866) 893-9320
X
X
X
Return to Instructions
Fax
337-991-0151
TOP
HRT PED NAS STR SUP PTD
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
* Return to Menu
Please Note: You may not see a pharmacy near you (or even in your state of residence) listed, however the
NCCP pharmacies listed for each state are licensed to dispense and ship compound medications to that state.
Not all NCCP pharmacies participate in all networks.
Please verify the compound credentialed pharmacy participates in your Plan’s network.
10-24-2016
TEXAS (TX)
Pharmacy Name
Address
City
State Phone
1 Script Solution RX
2060 Space Park Drive, Ste 108
Houston
TX
(855) 553-3157 (855) 223-4008
Fax
TOP
X
Acton Pharmacy Inc
563 Massachusetts Ave
Acton
MA
978-263-3901
978-263-3901
X
Advanced Infusion Solutions
623 Highland Colony Parkway Suite 100
Ridgeland
MS
877-443-4006
888-298-2220
America's Best Care Plus, Inc
1825 Everett Drive W.
Fort Payne
AL
800-638-6305
800-638-0294
Apothecare Compounding Pharmacy
9150 Huebner Rd. Suite #125B
San Antonio
TX
Assured Rx
13555 Automobile Blvd Suite 230
Clearwater
FL
Athena Pharmacy
2025 N. Mt. Julliet Rd. Suite 100
Mt Juliet
Auxilium Specialty Apothecary Pharmacy
16 Keystone Drive Suite B
Hattiesburg
Avella of Deer Valley, Inc.
23620 N 20th Drive Suite 12
Avella of Scottsdale, Inc.
HRT PED NAS STR SUP PTD
X
X
X
X
X
X
X
X
(210) 696-4100 (210) 696-4105
X
X
X
727-451-6815
888-209-4962
X
TN
615-288-4037
615-288-4061
X
X
MS
877-847-4612
888-615-6578
X
X
Phoenix
AZ
877-792-7684
866-792-7684
X
X
X
X
9777 N 91st ST
Scottsdale
AZ
480-451-3771
480-451-3503
X
X
X
X
B&J Pharmacy
2111 Hunter Road
San Marcos
TX
512-392-3301
512-392-3360
X
X
X
X
Boudreaux's Specialty Compounding Pharmacy
2551 Greenwood Road #110
Shreveport
LA
318-631-2005
318-631-1883
X
X
X
X
Central Rexall Drugs, Inc
125 E. Thomas Street
Hammond
LA
985-345-5120
985-345-5178
X
X
X
X
Century Pharmacy LLC
37 W. Century Rd Suite 113
Paramus
NJ
201-261-6479
201-261-9479
X
Chemistry Rx
829 Spruce Street Suite 100
4400 Teasley Lane #100
Philadelphia
Denton
PA
TX
855-790-0100
940-382-1618
267-861-0862
940-898-1986
X
X
X
X
Community Pharmacy
X
X
X
X
Compound Care Plus Pharmacy
1410 Highway 98 Unit G
Daphne
AL
866-832-2263
866-832-2264
X
X
X
Compound Pharmaceutical Technologies
1048 Stanton Road Suite B
Daphne
AL
251-626-2820
251-626-2850
X
X
X
Conversio Health
720 Aerovista Place Suite D
San Luis Obispo
CA
(866) 239-3784 (800) 977-9255
CPRx Pharmacy
351 Cypress Creek Rd Suite 100
Cedar Park
TX
(512) 382-7393 (512) 382-7488
X
X
Curexa
3007 Ocean Heights Ave
Egg Harbor Township NJ
609-927-0390
609-927-0392
X
X
Custom Meds, Inc.
102 E Highland Blvd
Inverness
FL
352-341-1212
352-341-2626
X
X
Custom Pharmacy Solutions
Birmingham
Wichita
AL
KS
866-988-3383
316-721-2626
866-988-3553
316-721-4823
X
X
X
X
Custom Rx Pharmacy & Wellness Concepts
2637 Valleydale Rd.
3510 N Ridge Road Suite 900
X
X
X
X
Cypress Compounding Pharmacy
9511 Huffmeister Road Suite 104
Houston
TX
832-617-0290
832-510-4003
X
X
X
X
DermaTran Health Solutions
2700 Stanley Gault Pkwy, Ste 103
Louisville
KY
855-675-5240
844-265-1995
X
DermaTran Health Solutions
85 Technology Pkwy NW
Rome
GA
855-675-5240
844-265-1995
X
Diabetes Corporation of America
4701 Trousdale Drive
Nashville
TN
877-730-5770
877-327-9174
X
X
X
Dougherty's Pharmacy
5959 Royal Lane Suite 515
Dallas
TX
(214) 373-5300 (214) 373-5333
X
X
X
X
X
Eastern States Compounding Pharmacy
338 Union Street
Littleton
NH
603-444-0094
603-444-0095
X
X
X
X
X
Essential Pharmacy Compounding
620 N 114 Street
Omaha
NE
402-408-0015
402-408-0020
X
X
X
X
X
Foothills Professional Pharmacy
4545 E. Chandler #100
Phoenix
AZ
480-496-4444
480-496-4450
X
X
Foundation Care, LLC
4010 Wedgeway Court
1100 Canyon View Drive Suite C
Earth City
Santa Clara
MO
UT
314-291-1122
435-703-9680
314-291-1133
435-703-9681
X
X
X
X
Bronx
Wichita Falls
NY
TX
855-426-6768
940-692-7081
855-326-6768
940-692-9676
X
X
X
Harvest Drug & Gift
2510 Westchester Ave Suite 207
4426 Kell West Boulevard
X
X
X
X
Health Dimensions, Inc
39303 Country Club Drive A26
Farmington Hills
MI
800-836-2303
248-489-1586
X
X
X
Highland Pharmacy
717 Encino Place NE Suite 1
Albuquerque
NM
505-243-3777
505-242-3216
X
X
Hill Country Apothecary
1310 RR 620 S. Suite A-1
Lakeway
TX
512-351-9139
512-366-5573
X
Hopewell Pharmacy
Hoye's Pharmacy
1 West Borad Street
4330 South Manhattan Avenue
Hopewell
Tampa
NJ
FL
609-466-1960
813-839-8861
609-466-8222
813-839-8941
Imprimis Rx
780 Primos Ave Unit E
Folcroft
PA
(888) 824-8100 (866) 302-7625
Infinity Compounding Solutions
1204 SE 28th Street Suite 2
Bentonville
AR
888-414-5805
Innovation Compounding Inc
6095 Pine Mountain Road NW suite 108
Kennesaw
GA
Inverness Apothecary South Texas Inc
5009 S McColl Rd Suite A
Edinburg
Inverness Apothecary Trinity
Inverness Lone Star Pharmacy
24333 Gordon Terry Parkway Suite B
223 E. FM 544 Suite 806
ITC Compounding & Natural Wellness Pharmacy
Keystone Pharmacy, LLC
Fusion Specialty Pharmacy
Haldey Pharmaceutical Compounding
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
855-422-2400
X
X
X
770-421-1399
770-426-1965
X
X
X
X
X
TX
956-467-0246
956-688-8967
X
X
X
X
Trinity
Murphy
AL
TX
256-260-3350
972-535-2020
256-260-3351
855-385-9990
X
X
X
X
X
X
X
X
651 Topeka Way Ste 600
Castle Rock
CO
303-663-4224
303-663-4263
X
X
X
X
118 Weisenberger #400
Madison
MS
855-739-9948
855-221-0918
X
X
X
X
Return to Instructions
X
X
X
X
X
X
X
X
X
* Return to Menu
Please Note: You may not see a pharmacy near you (or even in your state of residence) listed, however the
NCCP pharmacies listed for each state are licensed to dispense and ship compound medications to that state.
Not all NCCP pharmacies participate in all networks.
Please verify the compound credentialed pharmacy participates in your Plan’s network.
10-24-2016
TEXAS (TX) – Continued
Pharmacy Name
Address
City
State Phone
Fax
Lake Side Pharmacy
10005 AL Hwy 9 N
Cedar Bluff
AL
256-422-5010
866-609-4582
TOP
X
HRT PED NAS STR SUP PTD
Lee Silsby Compounding Pharmacy
3216 Silsby Rd
Cleveland Heights
OH
216-321-4300
216-321-4303
X
X
Magnolia Specialty Pharmacy
163 Turtle Creek Drive Suite 130
Hattiesburg
MS
877-871-3935
888-990-0575
X
X
X
MasterPharm
115-02 Liberty Avenue
Richmond Hill
NY
718-529-5500
718-529-2780
X
X
X
McMahan Pharmacy Services Inc
1503 West Front Street
Goldthwaite
TX
325-648-2484
325-648-3417
X
X
X
Medaus Pharmacy
6801 Cahaba Valley Rd Suite 116
Birmingham
AL
(205) 981-2352 (205) 981-2767
X
X
X
Medscript Pharmacy
Orland Park
Houston
IL
TX
708-460-4930
713-523-7847
708-460-4932
713-524-5024
X
Memorial Compounding Pharmacy
14400 John Humphery Drive Ste 110
2918 San Jacinto Street
X
X
Millers Compounding Pharmacy
678 Wyckoff Avenue
Wyckoff
NJ
888-891-3334
866-891-3334
X
X
X
X
X
Oakdell Pharmacy
7220 Louis Pasteur, Ste 176
San Antonio
TX
(210) 614-6200 (210) 614-3848
X
X
X
X
X
Partell Specialty Pharmacy West
8751 W Charleston Blvd Suite 120
Las Vegas
NV
702-685-3800
702-685-3636
X
X
X
X
Patient Care America
5371 Hiatus Road
Sunrise
FL
954-473-4717
954-473-9519
X
X
Pentec Health, Inc.
4 Creek Parkway
Boothwyn
PA
800-223-4376
610-494-7328
X
X
Pharmacy Creations
540 Route 10 West
Randolph
NJ
973-328-8756
973-328-8731
X
Pharmacy Innovations
1030 Louetta Road Suite C
Houston
TX
281-251-0888
281-251-0889
X
Pharmacy Innovations
2936 W. 17th ST
Erie
PA
814-838-2102
814-838-2103
X
Pharmacy Innovations
4000 Park St
St. Petersburg
FL
727-381-0700
727-347-2050
X
X
Pharmacy Link
3648 Vann Road Building II Suite 116
Birmingham
AL
866-332-6966
866-374-4761
X
X
Pharmacy Solutions
Ann Arbor
Altamonte Springs
MI
FL
(734) 821-8000 (734) 821-8001
407-260-7002 407-260-7044
X
X
X
Pharmacy Specialists
5204 Jackson Road Suite C
393 Maitland Ave
X
X
X
Pinnacle Compounding
1120 Kensington Ave. Ste. E
Missoula
MT
(406) 541-6121 (406) 541-6267
X
X
Professional Arts Pharmacy
128 Curran Lane
Lafayette
LA
337-991-0101
337-991-0151
X
X
X
X
Pyramids Pharmacy
1201 Dairy Ashford Road Suite 114
Houston
TX
281-589-2400
281-589-2405
X
X
X
X
Pyramids Pharmacy Webster
500 N Kobayashi Road Suite E
Webster
TX
281-724-0531
281-724-0535
X
X
X
X
Red River Pharmacy Services Inc
1327 College Drive
Texarkana
TX
(903) 792-7435 (903) 793-0485
X
X
X
X
RepublicRx Specialty Pharmacy
1862 W. Bitters Rd Ste. 100
San Antonio
TX
210-718-0300
210-255-1461
X
X
X
X
Richie's Specialty Pharmacy
12820 Highway 105 W
Conroe
TX
936-588-6337
936-588-2232
X
RoxSan Pharmacy
Beverly Hills
Jacksonville
CA
FL
(310) 273-1644 (310) 276-4152
904-361-3861 904-361-3866
X
X
X
Smart Pharmacy
465 N. Roxbury Dr. Ground Floor
3740 St. Johns Bluff Road #19
X
X
Smart Pharmacy
14003 Beach Blvd
Jacksonville
FL
904-503-5030
X
Solutions Pharmacy
8825 Bee Cave Rd Suite A
Austin
TX
(512) 382-9381 (512) 532-6689
Specialty Chemist Corp.
65-60 Fresh Meadow Lane
Fresh Meadows
NY
Stonegate Pharmacy
2501 W. William Cannon Suite 203
Austin
Stonegate Pharmacy at the Village
5625 Eiger Rd Suite 250
Austin
Stonegate Pharmacy on Broadway
2515 Broadway
Sugar Land Compounding Pharmacy
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
(718) 353-2595 (718) 886-8658
X
X
TX
512-707-2300
X
X
X
X
TX
(512) 693-4222 (512) 487-5311
X
X
X
X
San Antonio
TX
(210) 354-0101 (210) 354-0404
X
X
X
X
14823 Southwest Freeway, Suite B
Sugar Land
TX
(281) 302-6080 (281) 302-8259
X
X
X
X
X
X
Tarrytown Pharmacy
2727 Exposition Blvd #105
Austin
TX
(512) 478-6419 (512) 478-1638
X
X
X
X
X
X
The Daily Dose Pharmacy
4534 West Gate Blvd Ste #111
Austin
TX
(512) 334-9697 (572) 334-9698
X
X
TPS
3524 Decatur Highway Suite 302
Fultondale
AL
205-608-4995
205-608-2718
X
Transdermal Therapeutics, Inc.
211 Summit Pkwy Suite 124
Homewood
AL
877-581-5445
877-495-5445
X
Trinity Medical Pharmacy
9332 State Road 54 Suite 203
New Port Richey
FL
727-495-6979
727-213-6979
X
X
X
X
Triumph Pharmacy
6875 FM 1488 Road Suite 300
Magnolia
TX
281-252-4200
281-252-4201
X
X
X
X
Vasco Rx Specialty Pharmacy
4045 E Bell Rd Suite 163
Phoenix
AZ
(602) 971-6950 (602) 404-2504
X
X
X
Westchase Compounding Pharmacy
12617 Race Track Road
Tampa
FL
813-925-8200
X
X
Woodland Hills Pharmacy
20361 Ventura Blvd ste 305
Woodland Hills
CA
(855) 876-3060 (866) 893-9320
X
X
Xpress Compounding
1000 W. Weatherford St Suite 120
Fort Worth
TX
844-977-3770
X
X
Return to Instructions
904-361-3866
512-707-2378
813-925-8933
817-887-5545
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
* Return to Menu
Please Note: You may not see a pharmacy near you (or even in your state of residence) listed, however the
NCCP pharmacies listed for each state are licensed to dispense and ship compound medications to that state.
Not all NCCP pharmacies participate in all networks.
Please verify the compound credentialed pharmacy participates in your Plan’s network.
10-24-2016
UTAH (UT)
Pharmacy Name
Address
City
State Phone
Fax
Advanced Infusion Solutions
623 Highland Colony Parkway Suite 100
Ridgeland
MS
877-443-4006
888-298-2220
TOP
America's Best Care Plus, Inc
1825 Everett Drive W.
Fort Payne
AL
800-638-6305
800-638-0294
X
Assured Rx
13555 Automobile Blvd Suite 230
Clearwater
FL
727-451-6815
888-209-4962
X
Athena Pharmacy
2025 N. Mt. Julliet Rd. Suite 100
Mt Juliet
TN
615-288-4037
615-288-4061
Avella of Deer Valley, Inc.
23620 N 20th Drive Suite 12
Phoenix
AZ
877-792-7684
Boothwyn Pharmacy
2341 Chichester Ave
Boothwyn
PA
Central Rexall Drugs, Inc
125 E. Thomas Street
Hammond
Clearspring Pharmacy
206 W. County Line Road Suite 100
Conversio Health
HRT PED NAS STR SUP PTD
X
X
X
X
X
X
X
X
866-792-7684
X
X
X
X
610-485-1130
610-485-9223
X
X
X
LA
985-345-5120
985-345-5178
X
X
X
X
Highlands Ranch
CO
303-707-1500
303-707-1717
X
X
X
X
720 Aerovista Place Suite D
San Luis Obispo
CA
(866) 239-3784 (800) 977-9255
Curexa
3007 Ocean Heights Ave
Egg Harbor Township NJ
609-927-0390
609-927-0392
X
X
X
X
Custom Pharmacy Solutions
Birmingham
Wichita
AL
KS
866-988-3383
316-721-2626
866-988-3553
316-721-4823
X
X
X
X
Custom Rx Pharmacy & Wellness Concepts
2637 Valleydale Rd.
3510 N Ridge Road Suite 900
X
X
X
X
Cypress Compounding Pharmacy
9511 Huffmeister Road Suite 104
Houston
TX
832-617-0290
832-510-4003
X
X
X
X
DermaTran Health Solutions
85 Technology Pkwy NW
Rome
GA
855-675-5240
844-265-1995
X
Essential Pharmacy Compounding
620 N 114 Street
Omaha
NE
402-408-0015
402-408-0020
X
X
X
X
Foothills Professional Pharmacy
4545 E. Chandler #100
Phoenix
AZ
480-496-4444
480-496-4450
X
X
Foundation Care, LLC
4010 Wedgeway Court
Earth City
MO
314-291-1122
314-291-1133
X
Fusion Rx Compounding Pharmacy
Los Angeles
Santa Clara
CA
UT
(310) 204-6676 (310) 204-6678
435-703-9680 435-703-9681
X
X
X
X
Fusion Specialty Pharmacy
2001 Westwood Blvd. Suite A
1100 Canyon View Drive Suite C
X
X
X
X
Hopewell Pharmacy
1 West Borad Street
Hopewell
NJ
609-466-1960
X
X
X
X
Imprimis Rx
780 Primos Ave Unit E
Folcroft
PA
(888) 824-8100 (866) 302-7625
Infinity Compounding Solutions
1204 SE 28th Street Suite 2
Bentonville
AR
888-414-5805
855-422-2400
X
X
X
Innovation Compounding Inc
6095 Pine Mountain Road NW suite 108
Kennesaw
GA
770-421-1399
770-426-1965
X
X
X
Inverness Apothecary Trinity
24333 Gordon Terry Parkway Suite B
Trinity
AL
256-260-3350
256-260-3351
X
X
X
X
ITC Compounding & Natural Wellness Pharmacy
651 Topeka Way Ste 600
Castle Rock
CO
303-663-4224
303-663-4263
X
X
X
X
La Vita Compounding Pharmacy
3978 Sorrento Valley Blvd #300
San Diego
CA
858-453-2500
858-453-2501
X
X
X
X
Lee Silsby Compounding Pharmacy
3216 Silsby Rd
Cleveland Heights
OH
216-321-4300
216-321-4303
X
X
X
Magnolia Specialty Pharmacy
163 Turtle Creek Drive Suite 130
Hattiesburg
MS
877-871-3935
888-990-0575
X
X
X
MasterPharm
115-02 Liberty Avenue
Richmond Hill
NY
718-529-5500
718-529-2780
X
X
X
Medaus Pharmacy
6801 Cahaba Valley Rd Suite 116
Birmingham
AL
(205) 981-2352 (205) 981-2767
X
X
X
Millers Compounding Pharmacy
678 Wyckoff Avenue
Wyckoff
NJ
888-891-3334
X
X
X
Mt. Olympus Compounding, LLC
392 E 12300 S Suite A
Draper
UT
(801) 278-9008 (801) 849-0399
X
X
National Specialty Pharmacy LLC
2970 St. Rose Parkway #120
Henderson
NV
(702) 832-3320 (702) 425-9704
X
Park Compounding
9257 Research Dr
Irvine
CA
949-551-7195
949-551-1950
X
X
X
Partell Specialty Pharmacy East
5835 S Eastern Ave Suite 101
Las Vegas
NV
702-791-3800
702-791-3630
X
X
X
Partell Specialty Pharmacy West
8751 W Charleston Blvd Suite 120
Las Vegas
NV
702-685-3800
702-685-3636
X
X
X
X
Patient Care America
5371 Hiatus Road
Sunrise
FL
954-473-4717
954-473-9519
X
X
Pentec Health, Inc.
4 Creek Parkway
Boothwyn
PA
800-223-4376
610-494-7328
X
X
Pharmacy Creations
540 Route 10 West
Randolph
NJ
973-328-8756
973-328-8731
X
Pharmacy Innovations
2936 W. 17th ST
Erie
PA
814-838-2102
814-838-2103
X
X
Pharmacy Innovations
4000 Park St
St. Petersburg
FL
727-381-0700
727-347-2050
X
X
Pharmacy Link
3648 Vann Road Building II Suite 116
Birmingham
AL
866-332-6966
866-374-4761
X
X
Pharmacy Solutions
5204 Jackson Road Suite C
Ann Arbor
MI
(734) 821-8000 (734) 821-8001
X
X
Pinnacle Compounding
1120 Kensington Ave. Ste. E
Missoula
MT
(406) 541-6121 (406) 541-6267
X
X
RepublicRx Specialty Pharmacy
1862 W. Bitters Rd Ste. 100
San Antonio
TX
210-718-0300
X
X
X
X
RoxSan Pharmacy
Beverly Hills
Jacksonville
CA
FL
(310) 273-1644 (310) 276-4152
904-361-3861 904-361-3866
X
X
X
X
Smart Pharmacy
465 N. Roxbury Dr. Ground Floor
3740 St. Johns Bluff Road #19
X
X
X
Vasco Rx Specialty Pharmacy
4045 E Bell Rd Suite 163
Phoenix
AZ
(602) 971-6950 (602) 404-2504
X
X
X
X
Woodland Hills Pharmacy
20361 Ventura Blvd ste 305
Woodland Hills
CA
(855) 876-3060 (866) 893-9320
X
X
X
X
Xpress Compounding
1000 W. Weatherford St Suite 120
Fort Worth
TX
844-977-3770
X
X
Return to Instructions
609-466-8222
866-891-3334
210-255-1461
817-887-5545
X
X
X
X
X
X
X
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X
X
X
X
X
X
X
* Return to Menu
Please Note: You may not see a pharmacy near you (or even in your state of residence) listed, however the
NCCP pharmacies listed for each state are licensed to dispense and ship compound medications to that state.
Not all NCCP pharmacies participate in all networks.
Please verify the compound credentialed pharmacy participates in your Plan’s network.
10-24-2016
VERMONT (VT)
Pharmacy Name
Address
City
State Phone
Fax
Acton Pharmacy Inc
563 Massachusetts Ave
Acton
MA
978-263-3901
978-263-3901
Advanced Infusion Solutions
623 Highland Colony Parkway Suite 100
Ridgeland
MS
877-443-4006
888-298-2220
America's Best Care Plus, Inc
1825 Everett Drive W.
Fort Payne
AL
800-638-6305
800-638-0294
X
X
X
America's Compounding Center
153 California St.
Newton
MA
617-527-1563
617-527-1565
X
X
X
Anderson Compounding Pharmacy
310 Bluff City Highway
Bristol
TN
423-764-4136
423-764-5167
X
X
X
Ashland Health
12 N. Catherine Ave
La Grange
IL
708-482-4000
708-482-4004
X
Aspirar Pharmacy
135 Parkway Office G STE 105
Cary
NC
919-971-9011
855-382-7700
X
Assured Rx
13555 Automobile Blvd Suite 230
Clearwater
FL
727-451-6815
888-209-4962
X
Avella of Deer Valley, Inc.
23620 N 20th Drive Suite 12
Phoenix
AZ
877-792-7684
866-792-7684
X
X
X
X
Birds Hill Pharmacy
401 Great Plain Ave
Needham
MA
781-449-0550
781-449-7993
X
X
X
X
Boothwyn Pharmacy
2341 Chichester Ave
Boothwyn
PA
610-485-1130
610-485-9223
X
X
X
Central Rexall Drugs, Inc
125 E. Thomas Street
Hammond
LA
985-345-5120
985-345-5178
X
X
X
Conversio Health
720 Aerovista Place Suite D
San Luis Obispo
CA
(866) 239-3784 (800) 977-9255
Curexa
3007 Ocean Heights Ave
Egg Harbor Township NJ
609-927-0390
609-927-0392
X
X
Custom Meds, Inc.
102 E Highland Blvd
Inverness
FL
352-341-1212
352-341-2626
X
X
Custom Pharmacy Solutions
2637 Valleydale Rd.
Birmingham
AL
866-988-3383
866-988-3553
X
X
DermaTran Health Solutions
85 Technology Pkwy NW
Rome
GA
855-675-5240
844-265-1995
X
Eastern States Compounding Pharmacy
338 Union Street
Littleton
NH
603-444-0094
603-444-0095
X
Essential Pharmacy Compounding
620 N 114 Street
Omaha
NE
402-408-0015
402-408-0020
Foothills Professional Pharmacy
4545 E. Chandler #100
Phoenix
AZ
480-496-4444
Foundation Care, LLC
4010 Wedgeway Court
Earth City
MO
314-291-1122
Fusion Rx Compounding Pharmacy
2001 Westwood Blvd. Suite A
Los Angeles
CA
(310) 204-6676 (310) 204-6678
X
X
X
X
Hopewell Pharmacy
1 West Borad Street
Hopewell
NJ
609-466-1960
609-466-8222
X
X
X
X
Infinity Compounding Solutions
1204 SE 28th Street Suite 2
Bentonville
AR
888-414-5805
855-422-2400
X
X
X
X
Innovation Compounding Inc
6095 Pine Mountain Road NW suite 108
Kennesaw
GA
770-421-1399
770-426-1965
X
X
X
Inverness Apothecary Trinity
24333 Gordon Terry Parkway Suite B
Trinity
AL
256-260-3350
256-260-3351
X
X
X
X
Johnson Compounding & Wellness
577 Main Street
Waltham
MA
781-893-3870
781-899-1172
X
X
X
X
Lee Silsby Compounding Pharmacy
3216 Silsby Rd
Cleveland Heights
OH
216-321-4300
216-321-4303
X
X
X
Magnolia Specialty Pharmacy
163 Turtle Creek Drive Suite 130
Hattiesburg
MS
877-871-3935
888-990-0575
X
X
X
MasterPharm
115-02 Liberty Avenue
Richmond Hill
NY
718-529-5500
718-529-2780
X
X
X
Medaus Pharmacy
6801 Cahaba Valley Rd Suite 116
Birmingham
AL
(205) 981-2352 (205) 981-2767
X
X
X
Millers Compounding Pharmacy
678 Wyckoff Avenue
Wyckoff
NJ
888-891-3334
X
X
X
X
X
X
X
National Specialty Pharmacy LLC
2970 St. Rose Parkway #120
Henderson
NV
(702) 832-3320 (702) 425-9704
X
Park Compounding
9257 Research Dr
Irvine
CA
949-551-7195
949-551-1950
X
X
X
X
X
X
X
Pentec Health, Inc.
4 Creek Parkway
Boothwyn
PA
800-223-4376
610-494-7328
X
Pentec Health, Inc.
120 Forbes Blvd Suite 140
Mansfield
MA
800-233-4376
610-494-7328
X
PerforMix Specialty Pharmacy
25 Pelham Rd
Salem
NH
603-870-9618
603-870-9621
X
Pharmacy Creations
540 Route 10 West
Randolph
NJ
973-328-8756
973-328-8731
X
Pharmacy Innovations
2936 W. 17th ST
Erie
PA
814-838-2102
814-838-2103
X
X
Pharmacy Link
3648 Vann Road Building II Suite 116
Birmingham
AL
866-332-6966
866-374-4761
X
X
X
Pinnacle Compounding
1120 Kensington Ave. Ste. E
Missoula
MT
(406) 541-6121 (406) 541-6267
X
X
X
RepublicRx Specialty Pharmacy
1862 W. Bitters Rd Ste. 100
3740 St. Johns Bluff Road #19
San Antonio
Jacksonville
TX
FL
210-718-0300
904-361-3861
210-255-1461
904-361-3866
X
X
X
Smart Pharmacy
X
X
X
Sobe Compounding Apothecary
13150 SW 134 St
Miami
FL
305-969-5410
305-969-5453
X
X
X
Specialty Chemist Corp.
65-60 Fresh Meadow Lane
Fresh Meadows
NY
(718) 353-2595 (718) 886-8658
X
X
Transdermal Therapeutics, Inc.
211 Summit Pkwy Suite 124
Homewood
AL
877-581-5445
877-495-5445
X
Trinity Medical Pharmacy
9332 State Road 54 Suite 203
New Port Richey
FL
727-495-6979
727-213-6979
X
X
X
X
Vasco Rx Specialty Pharmacy
4045 E Bell Rd Suite 163
Phoenix
AZ
(602) 971-6950 (602) 404-2504
X
X
X
X
Xpress Compounding
1000 W. Weatherford St Suite 120
Fort Worth
TX
844-977-3770
X
X
X
Return to Instructions
TOP
X
HRT PED NAS STR SUP PTD
X
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480-496-4450
X
X
314-291-1133
X
866-891-3334
817-887-5545
X
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* Return to Menu
Please Note: You may not see a pharmacy near you (or even in your state of residence) listed, however the
NCCP pharmacies listed for each state are licensed to dispense and ship compound medications to that state.
Not all NCCP pharmacies participate in all networks.
Please verify the compound credentialed pharmacy participates in your Plan’s network.
10-24-2016
VIRGINIA (VA)
Pharmacy Name
Address
City
State
Phone
Access Compounding Pharmacy
1450 Emerson Ave. #110
McLean
VA
(571) 488-6620 (571) 488-6621
Advanced Infusion Solutions
623 Highland Colony Parkway Suite 100
Ridgeland
MS
877-443-4006
Alexandria Compounding Pharmacy
500 Montgomery St. #120
Alexandria
VA
(703) 549-4350 (703) 683-1039
X
X
X
America's Best Care Plus, Inc
1825 Everett Drive W.
Fort Payne
AL
800-638-6305
800-638-0294
X
X
X
America's Compounding Center
153 California St.
Newton
MA
617-527-1563
617-527-1565
X
X
X
Anderson Compounding Pharmacy
310 Bluff City Highway
Bristol
TN
423-764-4136
423-764-5167
X
X
X
Assured Rx
13555 Automobile Blvd Suite 230
Clearwater
FL
727-451-6815
888-209-4962
X
Athena Pharmacy
2025 N. Mt. Julliet Rd. Suite 100
Mt Juliet
TN
615-288-4037
615-288-4061
X
X
X
X
Avella of Deer Valley, Inc.
23620 N 20th Drive Suite 12
Phoenix
AZ
877-792-7684
866-792-7684
X
X
X
X
Boothwyn Pharmacy
2341 Chichester Ave
Boothwyn
PA
610-485-1130
610-485-9223
X
X
X
Bradley Drugs
6900 Arlington Road
Bethesda
MD
(301) 654-6776 (301) 657-9361
X
X
X
X
X
X
Central Rexall Drugs, Inc
125 E. Thomas Street
Hammond
LA
985-345-5120
985-345-5178
X
X
X
X
X
X
Compound Care Plus Pharmacy
1410 Highway 98 Unit G
Daphne
AL
866-832-2263
866-832-2264
X
X
X
Comprehensive Wellness Pharmacy
2269 Wilma Rudolph Blvd. Suite 103
Clarksville
TN
(855) 806-6042
Conversio Health
720 Aerovista Place Suite D
San Luis Obispo
CA
(866) 239-3784 (800) 977-9255
Custom Meds, Inc.
102 E Highland Blvd
Inverness
FL
352-341-1212
352-341-2626
X
X
X
X
Custom Pharmacy Solutions
2637 Valleydale Rd.
Birmingham
AL
866-988-3383
866-988-3553
X
X
X
X
X
Dan's Wellness Pharmacy
418 Garrisonville Road Suite 100
Stafford
VA
540-657-0006
540-657-9654
X
X
X
X
X
DermaTran Health Solutions
2700 Stanley Gault Pkwy, Ste 103
Louisville
KY
855-675-5240
844-265-1995
X
DermaTran Health Solutions
85 Technology Pkwy NW
Rome
GA
855-675-5240
844-265-1995
X
Essential Pharmacy Compounding
620 N 114 Street
Omaha
NE
402-408-0015
402-408-0020
X
X
Foothills Professional Pharmacy
4545 E. Chandler #100
Phoenix
AZ
480-496-4444
480-496-4450
X
X
Foundation Care, LLC
4010 Wedgeway Court
1100 Canyon View Drive Suite C
Earth City
Santa Clara
MO
UT
314-291-1122
435-703-9680
314-291-1133
435-703-9681
X
X
X
X
X
Hopewell
Tampa
NJ
FL
609-466-1960
813-839-8861
609-466-8222
813-839-8941
X
X
X
X
X
X
Hoye's Pharmacy
1 West Borad Street
4330 South Manhattan Avenue
X
X
X
X
X
X
Imprimis Rx
780 Primos Ave Unit E
Folcroft
PA
(888) 824-8100 (866) 302-7625
Infinity Compounding Solutions
1204 SE 28th Street Suite 2
Bentonville
AR
888-414-5805
855-422-2400
X
X
X
X
Inverness Apothecary Trinity
24333 Gordon Terry Parkway Suite B
Trinity
AL
256-260-3350
256-260-3351
X
X
X
X
ITC Compounding & Natural Wellness Pharmacy
651 Topeka Way Ste 600
Castle Rock
CO
303-663-4224
303-663-4263
X
X
X
X
Kare Pharmacy
136 Arnett Blvd
Danville
VA
(434) 792-8281 (434) 792-3235
X
X
X
X
Lake Side Pharmacy
10005 AL Hwy 9 N
Cedar Bluff
AL
256-422-5010
866-609-4582
X
Lee Silsby Compounding Pharmacy
3216 Silsby Rd
Cleveland Heights OH
216-321-4300
216-321-4303
X
X
Magnolia Specialty Pharmacy
163 Turtle Creek Drive Suite 130
Hattiesburg
MS
877-871-3935
888-990-0575
X
X
X
MasterPharm
115-02 Liberty Avenue
Richmond Hill
NY
718-529-5500
718-529-2780
X
X
X
Medaus Pharmacy
6801 Cahaba Valley Rd Suite 116
Birmingham
AL
(205) 981-2352 (205) 981-2767
X
X
X
X
X
Medical Center Pharmacy
912 S. 16th Street
Wilmington
NC
910-763-1896
910-763-1709
X
X
X
X
X
X
Medicap Pharmacy
956 J. Clyde Morris Blvd
Newport News
VA
757-599-9643
757-599-9647
X
Millers Compounding Pharmacy
678 Wyckoff Avenue
Wyckoff
NJ
888-891-3334
866-891-3334
X
X
X
X
X
X
X
Park Compounding
9257 Research Dr
Irvine
CA
949-551-7195
949-551-1950
X
X
X
X
X
X
X
Patient Care America
5371 Hiatus Road
Sunrise
FL
954-473-4717
954-473-9519
Patterson Park Pharmacy
2245 Eastern ave
Baltimore
MD
(410) 675-6046 (410) 563-1147
Pentec Health, Inc.
4 Creek Parkway
Boothwyn
PA
800-223-4376
610-494-7328
Pharmacy Innovations
2936 W. 17th ST
Erie
PA
814-838-2102
814-838-2103
X
X
X
X
Pharmacy Innovations
4661 Haygood Road Suite 101
Virginia Beach
VA
757-934-0533
757-228-3991
X
X
X
X
Fusion Specialty Pharmacy
Hopewell Pharmacy
Return to Instructions
Fax
TOP HRT PED NAS STR SUP PTD
X
X
X
888-298-2220
X
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X
* Return to Menu
Please Note: You may not see a pharmacy near you (or even in your state of residence) listed, however the
NCCP pharmacies listed for each state are licensed to dispense and ship compound medications to that state.
Not all NCCP pharmacies participate in all networks.
Please verify the compound credentialed pharmacy participates in your Plan’s network.
10-24-2016
VIRGINIA (VA) - Continued
Pharmacy Name
Address
City
State
Phone
Fax
Pharmacy Link
3648 Vann Road Building II Suite 116
Birmingham
AL
866-332-6966
866-374-4761
Pharmacy Solutions
Pharmacy Specialists
5204 Jackson Road Suite C
393 Maitland Ave
Ann Arbor
MI
Altamonte Springs FL
Phusion Pharmacy
17 Coventry Shoppers Park
Coventry
Pinnacle Compounding
1120 Kensington Ave. Ste. E
Missoula
Premier Pharmacy Inc.
109 Jack White Dr
ProCompounding Pharmacy
527 N. State of Franklin Rd. Suite 2
Rustburg Family Pharmacy
Rx3 Compounding Pharmacy
TOP
HRT PED NAS STR SUP PTD
X
X
(734) 821-8000 (734) 821-8001
407-260-7002 407-260-7044
X
X
X
X
X
X
X
RI
401-823-0000
X
X
X
X
MT
(406) 541-6121 (406) 541-6267
X
X
Kingsport
TN
423-245-1022
X
X
Johnson City
TN
(423) 975-0597 (423) 975-6304
X
X
X
925 Village Hwy Ste 2
Rustburg
VA
434-332-1730
434-332-1736
X
X
Chester
Midlothian
VA
VA
804-717-5000
804-897-6447
804-717-8300
804-897-6449
X
South River Compounding Pharmacy
12230 Ironbridge Rd Suite C
11420 W. Huguenot Road
South River Compounding Pharmacy
3656 Mayland Court
Richmond
VA
804-897-6447
The Compounding Center
36 Catoctin Circle Southeast
Leesburg
VA
TPS
3524 Decatur Highway Suite 302
Fultondale
Transdermal Therapeutics, Inc.
211 Summit Pkwy Suite 124
Vasco Rx Specialty Pharmacy
Woodland Hills Pharmacy
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
804-967-6449
X
X
X
X
X
X
703-779-3301
703-443-2283
X
X
X
X
X
X
AL
205-608-4995
205-608-2718
X
Homewood
AL
877-581-5445
877-495-5445
X
4045 E Bell Rd Suite 163
Phoenix
AZ
(602) 971-6950 (602) 404-2504
X
X
X
X
20361 Ventura Blvd ste 305
Woodland Hills
CA
(855) 876-3060 (866) 893-9320
X
X
X
X
Return to Instructions
401-823-0300
X
423-245-6391
X
X
X
X
X
X
X
X
X
X
X
X
* Return to Menu
Please Note: You may not see a pharmacy near you (or even in your state of residence) listed, however the
NCCP pharmacies listed for each state are licensed to dispense and ship compound medications to that state.
Not all NCCP pharmacies participate in all networks.
Please verify the compound credentialed pharmacy participates in your Plan’s network.
10-24-2016
WASHINGTON (WA)
Pharmacy Name
Address
City
State Phone
AAA Compounding Pharmacy
7921 Westminster Blvd.
Westminster
CA
(714) 988-6888 (714) 677-2400
X
Access Compounding Pharmacy
1450 Emerson Ave. #110
McLean
VA
(571) 488-6620 (571) 488-6621
X
Advanced Infusion Solutions
623 Highland Colony Parkway Suite 100
Ridgeland
MS
877-443-4006
888-298-2220
America's Best Care Plus, Inc
1825 Everett Drive W.
Fort Payne
AL
800-638-6305
800-638-0294
X
X
X
Anderson Compounding Pharmacy
310 Bluff City Highway
Bristol
TN
423-764-4136
423-764-5167
X
X
X
Ashland Health
12 N. Catherine Ave
La Grange
IL
708-482-4000
708-482-4004
X
Assured Rx
13555 Automobile Blvd Suite 230
Clearwater
FL
727-451-6815
888-209-4962
X
Athena Pharmacy
2025 N. Mt. Julliet Rd. Suite 100
Mt Juliet
TN
615-288-4037
615-288-4061
X
X
X
X
Avella of Deer Valley, Inc.
23620 N 20th Drive Suite 12
Phoenix
AZ
877-792-7684
866-792-7684
X
X
X
X
Broadway Apothecary
1515 Oak Street
Eugene
OR
541-684-9352
541-684-0858
X
X
X
X
Cascade Specialty Pharmacy
325 NE Hostmark St
Poulsbo
WA
(360) 779-2737 (360) 779-4905
X
X
X
X
Central Avenue Pharmacy, Inc
133 Fifteenth Street
Pacific Grove
CA
831-373-1225
831-373-3705
X
X
X
X
Central Rexall Drugs, Inc
125 E. Thomas Street
Hammond
LA
985-345-5120
985-345-5178
X
X
X
X
Century Pharmacy LLC
37 W. Century Rd Suite 113
Paramus
NJ
201-261-6479
201-261-9479
X
Chemistry Rx
829 Spruce Street Suite 100
Philadelphia
PA
855-790-0100
267-861-0862
X
X
X
Compound Care Plus Pharmacy
1410 Highway 98 Unit G
Daphne
AL
866-832-2263
866-832-2264
X
X
X
Conversio Health
720 Aerovista Place Suite D
San Luis Obispo
CA
(866) 239-3784 (800) 977-9255
Curexa
3007 Ocean Heights Ave
Egg Harbor Township NJ
609-927-0390
609-927-0392
X
X
Custom Meds, Inc.
102 E Highland Blvd
Inverness
FL
352-341-1212
352-341-2626
X
X
Custom Pharmacy Solutions
Birmingham
Wichita
AL
KS
866-988-3383
316-721-2626
866-988-3553
316-721-4823
X
X
X
X
Custom Rx Pharmacy & Wellness Concepts
2637 Valleydale Rd.
3510 N Ridge Road Suite 900
X
X
X
X
DermaTran Health Solutions
2700 Stanley Gault Pkwy, Ste 103
Louisville
KY
855-675-5240
844-265-1995
X
DermaTran Health Solutions
85 Technology Pkwy NW
Rome
GA
855-675-5240
844-265-1995
X
Eastern States Compounding Pharmacy
338 Union Street
Littleton
NH
603-444-0094
603-444-0095
X
X
X
X
X
Essential Pharmacy Compounding
620 N 114 Street
Omaha
NE
402-408-0015
402-408-0020
X
X
X
X
X
Foothills Professional Pharmacy
4545 E. Chandler #100
Phoenix
AZ
480-496-4444
480-496-4450
X
X
Foundation Care, LLC
4010 Wedgeway Court
Earth City
MO
314-291-1122
314-291-1133
X
Fusion Rx Compounding Pharmacy
Los Angeles
Santa Clara
CA
UT
(310) 204-6676 (310) 204-6678
435-703-9680 435-703-9681
X
X
X
X
Fusion Specialty Pharmacy
2001 Westwood Blvd. Suite A
1100 Canyon View Drive Suite C
X
X
X
X
Harbor Compounding and Home Healthcare
2000 Harbor Blvd Suite C100
Costa Mesa
CA
949-642-0106
949-642-5039
X
X
X
X
Hopewell Pharmacy
1 West Borad Street
Hopewell
NJ
609-466-1960
609-466-8222
X
X
X
X
Imprimis Rx
780 Primos Ave Unit E
Folcroft
PA
(888) 824-8100 (866) 302-7625
Infinity Compounding Solutions
1204 SE 28th Street Suite 2
Bentonville
AR
888-414-5805
855-422-2400
X
X
X
Innovation Compounding Inc
6095 Pine Mountain Road NW suite 108
Kennesaw
GA
770-421-1399
770-426-1965
X
X
X
Inverness Apothecary Trinity
24333 Gordon Terry Parkway Suite B
Trinity
AL
256-260-3350
256-260-3351
X
X
X
X
ITC Compounding & Natural Wellness Pharmacy
651 Topeka Way Ste 600
Castle Rock
CO
303-663-4224
303-663-4263
X
X
X
X
Johnson Compounding & Wellness
577 Main Street
Waltham
MA
781-893-3870
781-899-1172
X
X
X
X
X
X
La Vita Compounding Pharmacy
3978 Sorrento Valley Blvd #300
San Diego
CA
858-453-2500
858-453-2501
X
X
X
X
X
X
Lake Side Pharmacy
10005 AL Hwy 9 N
Cedar Bluff
AL
256-422-5010
866-609-4582
X
Lee Silsby Compounding Pharmacy
3216 Silsby Rd
Cleveland Heights
OH
216-321-4300
216-321-4303
X
X
X
Magnolia Specialty Pharmacy
163 Turtle Creek Drive Suite 130
Hattiesburg
MS
877-871-3935
888-990-0575
X
X
X
MasterPharm
115-02 Liberty Avenue
Richmond Hill
NY
718-529-5500
718-529-2780
X
X
X
Medaus Pharmacy
6801 Cahaba Valley Rd Suite 116
Birmingham
AL
(205) 981-2352 (205) 981-2767
X
X
X
Medscript Pharmacy
14400 John Humphery Drive Ste 110
Orland Park
IL
708-460-4930
708-460-4932
X
Millers Compounding Pharmacy
678 Wyckoff Avenue
Wyckoff
NJ
888-891-3334
866-891-3334
X
X
X
National Specialty Pharmacy LLC
2970 St. Rose Parkway #120
Henderson
NV
(702) 832-3320 (702) 425-9704
Return to Instructions
Fax
TOP
HRT PED NAS STR SUP PTD
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
* Return to Menu
Please Note: You may not see a pharmacy near you (or even in your state of residence) listed, however the
NCCP pharmacies listed for each state are licensed to dispense and ship compound medications to that state.
Not all NCCP pharmacies participate in all networks.
Please verify the compound credentialed pharmacy participates in your Plan’s network.
10-24-2016
WASHINGTON (WA) -Continued
Pharmacy Name
Address
City
State Phone
Fax
Park Compounding
9257 Research Dr
Irvine
CA
949-551-7195
949-551-1950
Patient Care America
5371 Hiatus Road
Sunrise
FL
954-473-4717
954-473-9519
X
X
Pentec Health, Inc.
4 Creek Parkway
Boothwyn
PA
800-223-4376
610-494-7328
X
X
Pharmacy Creations
540 Route 10 West
Randolph
NJ
973-328-8756
973-328-8731
X
Pharmacy Innovations
2936 W. 17th ST
Erie
PA
814-838-2102
814-838-2103
X
X
Pharmacy Link
3648 Vann Road Building II Suite 116
Birmingham
AL
866-332-6966
866-374-4761
X
X
Phusion Pharmacy
17 Coventry Shoppers Park
Coventry
RI
401-823-0000
401-823-0300
X
X
Pinnacle Compounding
1120 Kensington Ave. Ste. E
Missoula
MT
(406) 541-6121 (406) 541-6267
X
X
RepublicRx Specialty Pharmacy
1862 W. Bitters Rd Ste. 100
San Antonio
TX
210-718-0300
210-255-1461
X
X
X
Riverpoint Pharmacy
528 E Spokane Fall Blvd #110
Spokane
WA
509-343-6252
509-343-6251
X
X
X
RoxSan Pharmacy
465 N. Roxbury Dr. Ground Floor
3740 St. Johns Bluff Road #19
Beverly Hills
Jacksonville
CA
FL
(310) 273-1644 (310) 276-4152
904-361-3861 904-361-3866
X
X
X
Smart Pharmacy
X
X
X
TPS
3524 Decatur Highway Suite 302
Fultondale
AL
205-608-4995
X
Vasco Rx Specialty Pharmacy
4045 E Bell Rd Suite 163
Phoenix
AZ
(602) 971-6950 (602) 404-2504
X
X
X
X
X
X
X
Westchase Compounding Pharmacy
12617 Race Track Road
Tampa
FL
813-925-8200
X
X
X
X
X
X
X
Woodland Hills Pharmacy
20361 Ventura Blvd ste 305
Woodland Hills
CA
(855) 876-3060 (866) 893-9320
X
X
X
X
Xpress Compounding
1000 W. Weatherford St Suite 120
Fort Worth
TX
844-977-3770
X
X
X
X
Return to Instructions
205-608-2718
813-925-8933
817-887-5545
TOP
X
HRT PED NAS STR SUP PTD
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
* Return to Menu
Please Note: You may not see a pharmacy near you (or even in your state of residence) listed, however the
NCCP pharmacies listed for each state are licensed to dispense and ship compound medications to that state.
Not all NCCP pharmacies participate in all networks.
Please verify the compound credentialed pharmacy participates in your Plan’s network.
10-24-2016
WEST VIRGINIA (WV)
Pharmacy Name
Address
City
State Phone
Access Compounding Pharmacy
1450 Emerson Ave. #110
McLean
VA
(571) 488-6620 (571) 488-6621
Fax
TOP
HRT PED NAS STR SUP PTD
Advanced Infusion Solutions
623 Highland Colony Parkway Suite 100
Ridgeland
MS
877-443-4006
888-298-2220
America's Best Care Plus, Inc
1825 Everett Drive W.
Fort Payne
AL
800-638-6305
800-638-0294
X
X
X
Anderson Compounding Pharmacy
310 Bluff City Highway
Bristol
TN
423-764-4136
423-764-5167
X
X
X
Assured Rx
13555 Automobile Blvd Suite 230
Clearwater
FL
727-451-6815
888-209-4962
X
Athena Pharmacy
2025 N. Mt. Julliet Rd. Suite 100
Mt Juliet
TN
615-288-4037
615-288-4061
X
X
X
X
Avella of Deer Valley, Inc.
23620 N 20th Drive Suite 12
Phoenix
AZ
877-792-7684
866-792-7684
X
X
X
X
Central Rexall Drugs, Inc
125 E. Thomas Street
Hammond
LA
985-345-5120
985-345-5178
X
X
X
X
Compound Care Plus Pharmacy
1410 Highway 98 Unit G
Daphne
AL
866-832-2263
866-832-2264
X
X
X
Conversio Health
720 Aerovista Place Suite D
San Luis Obispo
CA
(866) 239-3784 (800) 977-9255
Custom Meds, Inc.
102 E Highland Blvd
Inverness
FL
352-341-1212
352-341-2626
X
X
Custom Pharmacy Solutions
2637 Valleydale Rd.
Birmingham
AL
866-988-3383
866-988-3553
X
X
DermaTran Health Solutions
2700 Stanley Gault Pkwy, Ste 103
Louisville
KY
855-675-5240
844-265-1995
X
DermaTran Health Solutions
85 Technology Pkwy NW
Rome
GA
855-675-5240
844-265-1995
X
Essential Pharmacy Compounding
620 N 114 Street
Omaha
NE
402-408-0015
402-408-0020
X
X
X
X
X
X
X
Family Pharmacy
2653 Bruce B Downs Blvd Suite 115
Wesley Chapel
FL
813-991-9500
813-991-9600
X
X
X
X
X
X
X
Foothills Professional Pharmacy
4545 E. Chandler #100
Phoenix
AZ
480-496-4444
480-496-4450
X
X
Foundation Care, LLC
4010 Wedgeway Court
Earth City
MO
314-291-1122
314-291-1133
X
Fusion Rx Compounding Pharmacy
2001 Westwood Blvd. Suite A
Los Angeles
CA
(310) 204-6676 (310) 204-6678
Imprimis Rx
780 Primos Ave Unit E
Folcroft
PA
(888) 824-8100 (866) 302-7625
Infinity Compounding Solutions
1204 SE 28th Street Suite 2
Bentonville
AR
888-414-5805
Innovation Compounding Inc
6095 Pine Mountain Road NW suite 108
Kennesaw
GA
Inverness Apothecary Trinity
24333 Gordon Terry Parkway Suite B
Trinity
ITC Compounding & Natural Wellness Pharmacy
651 Topeka Way Ste 600
Kare Pharmacy
Lee Silsby Compounding Pharmacy
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
855-422-2400
X
X
X
770-421-1399
770-426-1965
X
X
X
AL
256-260-3350
256-260-3351
X
X
X
X
Castle Rock
CO
303-663-4224
303-663-4263
X
X
X
X
136 Arnett Blvd
Danville
VA
(434) 792-8281 (434) 792-3235
X
X
X
X
3216 Silsby Rd
Cleveland Heights OH
216-321-4300
216-321-4303
X
X
X
MasterPharm
115-02 Liberty Avenue
Richmond Hill
NY
718-529-5500
718-529-2780
X
X
Medaus Pharmacy
6801 Cahaba Valley Rd Suite 116
Birmingham
AL
(205) 981-2352 (205) 981-2767
X
X
X
Millers Compounding Pharmacy
678 Wyckoff Avenue
Wyckoff
NJ
888-891-3334
866-891-3334
X
X
X
X
X
X
X
Park Compounding
9257 Research Dr
Irvine
CA
949-551-7195
949-551-1950
X
X
X
X
X
X
X
Patient Care America
5371 Hiatus Road
Sunrise
FL
954-473-4717
954-473-9519
X
X
Pentec Health, Inc.
4 Creek Parkway
Boothwyn
PA
800-223-4376
610-494-7328
X
X
Pharmacy Creations
540 Route 10 West
Randolph
NJ
973-328-8756
973-328-8731
X
Pharmacy Innovations
2936 W. 17th ST
Erie
PA
814-838-2102
814-838-2103
X
X
Pharmacy Link
3648 Vann Road Building II Suite 116
Birmingham
AL
866-332-6966
866-374-4761
X
X
Pharmacy Solutions
5204 Jackson Road Suite C
Ann Arbor
MI
(734) 821-8000 (734) 821-8001
X
X
Pinnacle Compounding
1120 Kensington Ave. Ste. E
Missoula
MT
(406) 541-6121 (406) 541-6267
X
X
RoxSan Pharmacy
465 N. Roxbury Dr. Ground Floor
Beverly Hills
CA
(310) 273-1644 (310) 276-4152
X
X
X
X
The Compounding Center
36 Catoctin Circle Southeast
Leesburg
VA
703-779-3301
703-443-2283
X
X
X
X
TPS
3524 Decatur Highway Suite 302
Fultondale
AL
205-608-4995
205-608-2718
X
Transdermal Therapeutics, Inc.
211 Summit Pkwy Suite 124
Homewood
AL
877-581-5445
877-495-5445
X
Trinity Medical Pharmacy
9332 State Road 54 Suite 203
New Port Richey
FL
727-495-6979
727-213-6979
X
X
X
X
Vasco Rx Specialty Pharmacy
4045 E Bell Rd Suite 163
Phoenix
AZ
(602) 971-6950 (602) 404-2504
X
X
X
X
Westchase Compounding Pharmacy
12617 Race Track Road
Tampa
FL
813-925-8200
X
X
X
X
Woodland Hills Pharmacy
20361 Ventura Blvd ste 305
Woodland Hills
CA
(855) 876-3060 (866) 893-9320
X
X
X
X
Return to Instructions
813-925-8933
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
* Return to Menu
Please Note: You may not see a pharmacy near you (or even in your state of residence) listed, however the
NCCP pharmacies listed for each state are licensed to dispense and ship compound medications to that state.
Not all NCCP pharmacies participate in all networks.
Please verify the compound credentialed pharmacy participates in your Plan’s network.
10-24-2016
WISCONSIN (WI)
Pharmacy Name
Address
City
State Phone
1 Script Solution RX
2060 Space Park Drive, Ste 108
Houston
TX
(855) 553-3157 (855) 223-4008
X
Access Compounding Pharmacy
1450 Emerson Ave. #110
McLean
VA
(571) 488-6620 (571) 488-6621
X
Advanced Infusion Solutions
623 Highland Colony Parkway Suite 100
Ridgeland
MS
877-443-4006
888-298-2220
America's Best Care Plus, Inc
1825 Everett Drive W.
Fort Payne
AL
800-638-6305
800-638-0294
X
X
X
America's Compounding Center
153 California St.
Newton
MA
617-527-1563
617-527-1565
X
X
X
Anderson Compounding Pharmacy
310 Bluff City Highway
Bristol
TN
423-764-4136
423-764-5167
X
X
X
Ashland Health
12 N. Catherine Ave
La Grange
IL
708-482-4000
708-482-4004
X
Assured Rx
13555 Automobile Blvd Suite 230
Clearwater
FL
727-451-6815
888-209-4962
X
Athena Pharmacy
2025 N. Mt. Julliet Rd. Suite 100
Mt Juliet
TN
615-288-4037
615-288-4061
X
X
Auxilium Specialty Apothecary Pharmacy
16 Keystone Drive Suite B
Hattiesburg
MS
877-847-4612
888-615-6578
X
X
Avella of Deer Valley, Inc.
23620 N 20th Drive Suite 12
Phoenix
AZ
877-792-7684
866-792-7684
X
X
X
X
X
Buderer Drug Company
633 Hancock Street
Sandusky
OH
419-627-2800
419-626-0494
X
X
X
X
X
Central Avenue Pharmacy, Inc
133 Fifteenth Street
Pacific Grove
CA
831-373-1225
831-373-3705
X
X
X
X
Central Rexall Drugs, Inc
125 E. Thomas Street
Hammond
LA
985-345-5120
985-345-5178
X
X
X
X
Century Pharmacy LLC
37 W. Century Rd Suite 113
Paramus
NJ
201-261-6479
201-261-9479
X
Compound Care Plus Pharmacy
1410 Highway 98 Unit G
Daphne
AL
866-832-2263
866-832-2264
X
X
X
Compound Pharmaceutical Technologies
1048 Stanton Road Suite B
Daphne
AL
251-626-2820
251-626-2850
X
X
X
Compounding Docs Inc
5499 N Federal Hwy Suite G
Boca Raton
FL
561-826-0711
561-826-0717
X
X
X
X
Conversio Health
720 Aerovista Place Suite D
San Luis Obispo
CA
(866) 239-3784 (800) 977-9255
X
X
Curexa
3007 Ocean Heights Ave
Egg Harbor Township NJ
609-927-0390
609-927-0392
X
X
Custom Meds, Inc.
102 E Highland Blvd
Inverness
FL
352-341-1212
352-341-2626
X
X
Custom Pharmacy Solutions
Birmingham
Wichita
AL
KS
866-988-3383
316-721-2626
866-988-3553
316-721-4823
X
X
X
X
Custom Rx Pharmacy & Wellness Concepts
2637 Valleydale Rd.
3510 N Ridge Road Suite 900
X
X
X
X
DermaTran Health Solutions
2700 Stanley Gault Pkwy, Ste 103
Louisville
KY
855-675-5240
844-265-1995
X
DermaTran Health Solutions
85 Technology Pkwy NW
Rome
GA
855-675-5240
844-265-1995
X
Doug's Pharmacy
137 N. Market Street
Paxton
IL
217-379-3684
217-379-6115
X
X
X
X
Eastern States Compounding Pharmacy
338 Union Street
Littleton
NH
603-444-0094
603-444-0095
X
X
X
X
X
Essential Pharmacy Compounding
620 N 114 Street
Omaha
NE
402-408-0015
402-408-0020
X
X
X
X
X
Foothills Professional Pharmacy
4545 E. Chandler #100
Phoenix
AZ
480-496-4444
480-496-4450
X
X
Foundation Care, LLC
4010 Wedgeway Court
Earth City
MO
314-291-1122
314-291-1133
X
Fusion Rx Compounding Pharmacy
2001 Westwood Blvd. Suite A
Los Angeles
CA
(310) 204-6676 (310) 204-6678
X
X
X
X
Health Dimensions, Inc
39303 Country Club Drive A26
Farmington Hills
MI
800-836-2303
248-489-1586
X
X
X
X
Heritage Compounding Pharmacy
11 Midtown Park East
Mobile
AL
251-472-0814
251-472-0864
X
X
X
X
Hopewell Pharmacy
Hopewell
Tampa
NJ
FL
609-466-1960
813-839-8861
609-466-8222
813-839-8941
X
X
X
Hoye's Pharmacy
1 West Borad Street
4330 South Manhattan Avenue
X
X
X
Imprimis Rx
780 Primos Ave Unit E
Folcroft
PA
(888) 824-8100 (866) 302-7625
Infinity Compounding Solutions
1204 SE 28th Street Suite 2
Bentonville
AR
888-414-5805
855-422-2400
X
X
X
Innovation Compounding Inc
6095 Pine Mountain Road NW suite 108
Kennesaw
GA
770-421-1399
770-426-1965
X
X
X
Inverness Apothecary Trinity
24333 Gordon Terry Parkway Suite B
Trinity
AL
256-260-3350
256-260-3351
X
X
X
X
ITC Compounding & Natural Wellness Pharmacy
651 Topeka Way Ste 600
Castle Rock
CO
303-663-4224
303-663-4263
X
X
X
X
Ladd Family Pharmacy
1109 S. Broadway Ave
Boise
ID
208-947-0877
208-947-0874
X
X
X
X
Lake Side Pharmacy
10005 AL Hwy 9 N
Cedar Bluff
AL
256-422-5010
866-609-4582
X
Lee Silsby Compounding Pharmacy
3216 Silsby Rd
Cleveland Heights
OH
216-321-4300
216-321-4303
X
X
Magnolia Specialty Pharmacy
163 Turtle Creek Drive Suite 130
Hattiesburg
MS
877-871-3935
888-990-0575
X
X
X
MasterPharm
115-02 Liberty Avenue
Richmond Hill
NY
718-529-5500
718-529-2780
X
X
X
Medaus Pharmacy
6801 Cahaba Valley Rd Suite 116
Birmingham
AL
(205) 981-2352 (205) 981-2767
X
X
X
Medical Center Pharmacy
912 S. 16th Street
Wilmington
NC
910-763-1896
910-763-1709
X
X
X
Medscript Pharmacy
Orland Park
Houston
IL
TX
708-460-4930
713-523-7847
708-460-4932
713-524-5024
X
Memorial Compounding Pharmacy
14400 John Humphery Drive Ste 110
2918 San Jacinto Street
X
X
Millers Compounding Pharmacy
678 Wyckoff Avenue
Wyckoff
NJ
888-891-3334
866-891-3334
X
X
National Specialty Pharmacy LLC
2970 St. Rose Parkway #120
Henderson
NV
(702) 832-3320 (702) 425-9704
Return to Instructions
Fax
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* Return to Menu
Please Note: You may not see a pharmacy near you (or even in your state of residence) listed, however the
NCCP pharmacies listed for each state are licensed to dispense and ship compound medications to that state.
Not all NCCP pharmacies participate in all networks.
Please verify the compound credentialed pharmacy participates in your Plan’s network.
10-24-2016
WISCONSIN (WI) – Continued
Pharmacy Name
Address
City
State Phone
Fax
Park Compounding
9257 Research Dr
Irvine
CA
949-551-7195
949-551-1950
X
X
X
X
X
X
X
Partell Specialty Pharmacy East
5835 S Eastern Ave Suite 101
Las Vegas
NV
702-791-3800
702-791-3630
X
X
X
X
X
X
X
Partell Specialty Pharmacy West
8751 W Charleston Blvd Suite 120
Las Vegas
NV
702-685-3800
702-685-3636
X
X
X
X
X
X
Patient Care America
5371 Hiatus Road
Sunrise
FL
954-473-4717
954-473-9519
X
X
Pentec Health, Inc.
4 Creek Parkway
Boothwyn
PA
800-223-4376
610-494-7328
X
X
Pharmacy Creations
540 Route 10 West
Randolph
NJ
973-328-8756
973-328-8731
X
Pharmacy Innovations
2936 W. 17th ST
Erie
PA
814-838-2102
814-838-2103
X
X
Pharmacy Link
3648 Vann Road Building II Suite 116
Birmingham
AL
866-332-6966
866-374-4761
X
X
Pharmacy Solutions
5204 Jackson Road Suite C
Ann Arbor
MI
(734) 821-8000 (734) 821-8001
X
X
X
Phusion Pharmacy
17 Coventry Shoppers Park
Coventry
RI
401-823-0000
X
X
X
Pinnacle Compounding
1120 Kensington Ave. Ste. E
Missoula
MT
(406) 541-6121 (406) 541-6267
X
X
RepublicRx Specialty Pharmacy
1862 W. Bitters Rd Ste. 100
San Antonio
TX
210-718-0300
X
X
X
X
Rock Valley Compounding Pharmacy
811 S. Perryville Rd Unit 109
Rockford
IL
(779) 423-0542 (815) 977-3077
X
X
X
X
RoxSan Pharmacy
Beverly Hills
Jacksonville
CA
FL
(310) 273-1644 (310) 276-4152
904-361-3861 904-361-3866
X
X
X
X
Smart Pharmacy
465 N. Roxbury Dr. Ground Floor
3740 St. Johns Bluff Road #19
X
X
X
Specialty Chemist Corp.
65-60 Fresh Meadow Lane
Fresh Meadows
NY
(718) 353-2595 (718) 886-8658
X
X
Topical Solutions Pharmacy
20612 N. Cave Creek Rd. #150
Phoenix
AZ
(480) 351-8278 (480) 351-8277
X
TPS
3524 Decatur Highway Suite 302
Fultondale
AL
205-608-4995
205-608-2718
X
Transdermal Therapeutics, Inc.
211 Summit Pkwy Suite 124
Homewood
AL
877-581-5445
877-495-5445
X
Vasco Rx Specialty Pharmacy
4045 E Bell Rd Suite 163
Phoenix
AZ
(602) 971-6950 (602) 404-2504
X
X
X
X
X
X
X
Westchase Compounding Pharmacy
12617 Race Track Road
Tampa
FL
813-925-8200
X
X
X
X
X
X
X
Woodland Hills Pharmacy
20361 Ventura Blvd ste 305
Woodland Hills
CA
(855) 876-3060 (866) 893-9320
X
X
X
X
Xpress Compounding
1000 W. Weatherford St Suite 120
Fort Worth
TX
844-977-3770
X
X
X
X
Return to Instructions
401-823-0300
210-255-1461
813-925-8933
817-887-5545
TOP
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X
* Return to Menu
Please Note: You may not see a pharmacy near you (or even in your state of residence) listed, however the
NCCP pharmacies listed for each state are licensed to dispense and ship compound medications to that state.
Not all NCCP pharmacies participate in all networks.
Please verify the compound credentialed pharmacy participates in your Plan’s network.
10-24-2016
WYOMING (WY)
Pharmacy Name
Address
City
State Phone
1 Script Solution RX
2060 Space Park Drive, Ste 108
Houston
TX
(855) 553-3157 (855) 223-4008
Advanced Infusion Solutions
623 Highland Colony Parkway Suite 100
Ridgeland
MS
877-443-4006
888-298-2220
America's Best Care Plus, Inc
1825 Everett Drive W.
Fort Payne
AL
800-638-6305
800-638-0294
X
X
X
America's Compounding Center
153 California St.
Newton
MA
617-527-1563
617-527-1565
X
X
X
Anderson Compounding Pharmacy
310 Bluff City Highway
Bristol
TN
423-764-4136
423-764-5167
X
X
X
Ashland Health
12 N. Catherine Ave
La Grange
IL
708-482-4000
708-482-4004
X
Assured Rx
13555 Automobile Blvd Suite 230
Clearwater
FL
727-451-6815
888-209-4962
X
Athena Pharmacy
2025 N. Mt. Julliet Rd. Suite 100
Mt Juliet
TN
615-288-4037
615-288-4061
X
X
X
X
Avella of Deer Valley, Inc.
23620 N 20th Drive Suite 12
Phoenix
AZ
877-792-7684
866-792-7684
X
X
X
X
Central Rexall Drugs, Inc
125 E. Thomas Street
Hammond
LA
985-345-5120
985-345-5178
X
X
X
X
Century Pharmacy LLC
37 W. Century Rd Suite 113
Paramus
NJ
201-261-6479
201-261-9479
X
Clearspring Pharmacy
206 W. County Line Road Suite 100
Highlands Ranch
CO
303-707-1500
303-707-1717
X
X
X
Compound Care Plus Pharmacy
1410 Highway 98 Unit G
Daphne
AL
866-832-2263
866-832-2264
X
X
X
Conversio Health
720 Aerovista Place Suite D
San Luis Obispo
CA
(866) 239-3784 (800) 977-9255
Curexa
3007 Ocean Heights Ave
Egg Harbor Township NJ
609-927-0390
609-927-0392
X
X
Custom Meds, Inc.
102 E Highland Blvd
Inverness
FL
352-341-1212
352-341-2626
X
X
Custom Pharmacy Solutions
2637 Valleydale Rd.
Birmingham
AL
866-988-3383
866-988-3553
X
X
DermaTran Health Solutions
2700 Stanley Gault Pkwy, Ste 103
Louisville
KY
855-675-5240
844-265-1995
X
DermaTran Health Solutions
85 Technology Pkwy NW
Rome
GA
855-675-5240
844-265-1995
X
Diabetes Corporation of America
4701 Trousdale Drive
Nashville
TN
877-730-5770
877-327-9174
X
X
X
Essential Pharmacy Compounding
620 N 114 Street
Omaha
NE
402-408-0015
402-408-0020
X
X
X
Everwell Specialty Pharmacy
825 E. Burgess Road
Pensacola
FL
850-473-9190
850-473-9935
X
X
X
Foothills Professional Pharmacy
4545 E. Chandler #100
Phoenix
AZ
480-496-4444
480-496-4450
X
X
Foundation Care, LLC
4010 Wedgeway Court
Earth City
MO
314-291-1122
314-291-1133
X
Fusion Rx Compounding Pharmacy
Los Angeles
Santa Clara
CA
UT
(310) 204-6676 (310) 204-6678
435-703-9680 435-703-9681
X
X
X
X
Fusion Specialty Pharmacy
2001 Westwood Blvd. Suite A
1100 Canyon View Drive Suite C
X
X
X
X
Infinity Compounding Solutions
1204 SE 28th Street Suite 2
Bentonville
AR
888-414-5805
855-422-2400
X
X
X
X
Innovation Compounding Inc
6095 Pine Mountain Road NW suite 108
Kennesaw
GA
770-421-1399
770-426-1965
X
X
X
Inverness Apothecary Trinity
24333 Gordon Terry Parkway Suite B
Trinity
AL
256-260-3350
256-260-3351
X
X
X
X
ITC Compounding & Natural Wellness Pharmacy
651 Topeka Way Ste 600
Castle Rock
CO
303-663-4224
303-663-4263
X
X
X
X
Magnolia Specialty Pharmacy
163 Turtle Creek Drive Suite 130
Hattiesburg
MS
877-871-3935
888-990-0575
X
X
X
MasterPharm
115-02 Liberty Avenue
Richmond Hill
NY
718-529-5500
718-529-2780
X
X
X
Medaus Pharmacy
6801 Cahaba Valley Rd Suite 116
Birmingham
AL
(205) 981-2352 (205) 981-2767
X
X
X
Medscript Pharmacy
14400 John Humphery Drive Ste 110
Orland Park
IL
708-460-4930
X
Medtown Rx
Burbank
Houston
CA
TX
(818) 500-0079 (818) 500-0225
713-523-7847 713-524-5024
X
X
X
X
Memorial Compounding Pharmacy
4128 W. Burbank Blvd
2918 San Jacinto Street
X
X
Millers Compounding Pharmacy
678 Wyckoff Avenue
Wyckoff
NJ
888-891-3334
X
X
X
X
Mt. Olympus Compounding, LLC
392 E 12300 S Suite A
Draper
UT
(801) 278-9008 (801) 849-0399
X
X
National Specialty Pharmacy LLC
2970 St. Rose Parkway #120
Henderson
NV
(702) 832-3320 (702) 425-9704
X
Park Compounding
9257 Research Dr
Irvine
CA
949-551-7195
949-551-1950
X
X
X
Partell Specialty Pharmacy East
5835 S Eastern Ave Suite 101
Las Vegas
NV
702-791-3800
702-791-3630
X
X
X
Partell Specialty Pharmacy West
8751 W Charleston Blvd Suite 120
Las Vegas
NV
702-685-3800
702-685-3636
X
X
X
X
Pentec Health, Inc.
4 Creek Parkway
Boothwyn
PA
800-223-4376
610-494-7328
Pharmacy Creations
540 Route 10 West
Randolph
NJ
973-328-8756
973-328-8731
X
Pharmacy Innovations
2936 W. 17th ST
Erie
PA
814-838-2102
814-838-2103
X
X
Pharmacy Link
3648 Vann Road Building II Suite 116
Birmingham
AL
866-332-6966
866-374-4761
X
X
RepublicRx Specialty Pharmacy
1862 W. Bitters Rd Ste. 100
San Antonio
TX
210-718-0300
210-255-1461
X
X
RoxSan Pharmacy
465 N. Roxbury Dr. Ground Floor
3740 St. Johns Bluff Road #19
Beverly Hills
Jacksonville
CA
FL
(310) 273-1644 (310) 276-4152
904-361-3861 904-361-3866
X
Smart Pharmacy
X
Sobe Compounding Apothecary
13150 SW 134 St
Miami
FL
305-969-5410
X
Topical Solutions Pharmacy
20612 N. Cave Creek Rd. #150
Phoenix
AZ
(480) 351-8278 (480) 351-8277
X
TPS
3524 Decatur Highway Suite 302
Fultondale
AL
205-608-4995
X
Vasco Rx Specialty Pharmacy
4045 E Bell Rd Suite 163
Phoenix
AZ
(602) 971-6950 (602) 404-2504
X
X
X
X
Woodland Hills Pharmacy
20361 Ventura Blvd ste 305
Woodland Hills
CA
(855) 876-3060 (866) 893-9320
X
X
X
X
Xpress Compounding
1000 W. Weatherford St Suite 120
Fort Worth
TX
844-977-3770
X
X
Return to Instructions
Fax
708-460-4932
866-891-3334
305-969-5453
205-608-2718
817-887-5545
TOP
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* Return to Menu
Please Note: You may not see a pharmacy near you (or even in your state of residence) listed, however the
NCCP pharmacies listed for each state are licensed to dispense and ship compound medications to that state.
Not all NCCP pharmacies participate in all networks.
Please verify the compound credentialed pharmacy participates in your Plan’s network.
10-24-2016

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